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DR. KENNETH JOHN FISCHER DDS

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1881777969

Individual Registrant:
DR. KENNETH JOHN FISCHER DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
1467 N WANDA RD STE 195  VILLA PARK, CA 92867-5344 US
Tel: 714-633-1200  Fax: 714-633-4740

Contact information for business:
7821 E PORTICO TER  ORANGE, CA 92867-6481 US
Tel: 714-904-7264  Fax: 714-633-4740

Registration Information:
NPI: 1881777969
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
CA23603

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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