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NPI Code Detail

MEDICARE: DR. JOSEPH MAUGHAN KENT D.D.S.

MEDICARE:  DR. JOSEPH MAUGHAN KENT  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist25919CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1B25919OTHERCADENTI-CAL

General Provider Information

NPI Number : 1023010840
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH MAUGHAN KENT D.D.S.
Provider Business Mailing Address
First Line : PO BOX 186
Second Line :
City : LAKE ISABELLA
State : CA
Zip : 93240-0186
Country : US
Telephone Number : 760-379-3625
Fax Number :
Provider Business Practice Location Address
First Line : 6421 LYNCH CANYON DR
Second Line :
City : LAKE ISABELLA
State : CA
Zip : 93240-9726
Country : US
Telephone Number : 760-379-3626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 10/16/2013

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Directions to “ DR. JOSEPH MAUGHAN KENT D.D.S.” Practice Location

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