Kellen, Peter M

Kellen, Peter M is an individual health care provider with primary practice located at 24400 Muirlands Blvd Suite D, Lake Forest CA 92630-3946. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kellen, Peter M can be contacted via phone (949) 586-0270.

Contact Information

Primary practice address
24400 Muirlands Blvd Suite D Lake Forest CA 92630-3946
Phone: (949) 586-0270
Fax: (949) 859-8446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D21375 California

Profile Details

NPI number 1609880871
LBN Legal business name Kellen, Peter M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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