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KENVIS NGOW DDS INC NPI 1558559419


NPI Information

NPI: 1558559419
Provider Name: KENVIS NGOW DDS INC

Doing Business As: REFLECTION DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
21220 GOLDEN SPRINGS DR
WALNUT, CA
ZIP 91789
Phone: (909) 869-8856
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KENVIS NGOW DDS INC is a general practice dentist in Walnut, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KENVIS NGOW DDS INC NPI is 1558559419. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Reflection Dental Group.

The provider's business location address is:

21220 GOLDEN SPRINGS DR
WALNUT, CA
ZIP 91789-925
Phone: (909) 869-8856
Fax: (909) 869-7378

The provider's authorized official is Kenvis Ngow .
The authorized official title is Dentist and has the following contact phone number (909) 869-8856.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 10/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice48753CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G89806-01OTHERCALIFORNIAMEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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