Provider Demographics
NPI:1558489856
Name:OCHIAI, KENT
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:
Last Name:OCHIAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 N BRISTOL ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-3315
Mailing Address - Country:US
Mailing Address - Phone:714-542-9606
Mailing Address - Fax:714-542-7972
Practice Address - Street 1:1601 N BRISTOL ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-3315
Practice Address - Country:US
Practice Address - Phone:714-542-9606
Practice Address - Fax:714-542-7972
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA354361223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics