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Dr. Kevin Ray Ackerman, DDS

Dentist in Antioch, CA. Individual provider (NPI-1).

NPI number1922274232
StatusActive
Last updated in NPPESMay 6, 2008

Details

NPI
1922274232
Entity type
Individual (NPI-1)
Name
Dr. Kevin Ray Ackerman
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
May 6, 2008
Last updated
May 6, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist39742CAYes

Practice location

3701 Lone Tree Way
Suite 3-A
Antioch, CA 94509-6038

Phone 925-754-0899

Mailing address

3701 Lone Tree Way
Suite 3-A
Antioch, CA 94509-6038

Phone 925-754-0899

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