Provider Demographics
NPI:1851586978
Name:IRVIN KAW DENTAL CORPORATION
Entity Type:Organization
Organization Name:IRVIN KAW DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DMD
Authorized Official - Prefix:DR
Authorized Official - First Name:IRVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-628-3455
Mailing Address - Street 1:7551 GARVEY AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2911
Mailing Address - Country:US
Mailing Address - Phone:626-288-2886
Mailing Address - Fax:
Practice Address - Street 1:7551 GARVEY AVE
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2911
Practice Address - Country:US
Practice Address - Phone:626-288-2886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental