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Kelly Kaban, DDS

Dentist, General Practice in San Juan Capistrano, CA. Individual provider (NPI-1).

NPI number1982124624
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1982124624
Entity type
Individual (NPI-1)
Name
Kelly Kaban
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 23, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice101454CAYes

Practice location

32124 Paseo Adelanto Ste 2
San Juan Capistrano, CA 92675-3636

Phone 949-496-5585

Mailing address

32124 Paseo Adelanto Ste 2
San Juan Capistrano, CA 92675-3636

Phone 949-496-5585

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