Provider Demographics
NPI:1730233628
Name:OCHI, KENNETH D (DDS)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:D
Last Name:OCHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1444 AVIATION BLVD
Mailing Address - Street 2:SUITE # 201
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278
Mailing Address - Country:US
Mailing Address - Phone:310-376-2460
Mailing Address - Fax:310-376-7273
Practice Address - Street 1:1444 AVIATION BLVD
Practice Address - Street 2:SUITE # 201
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278
Practice Address - Country:US
Practice Address - Phone:310-376-2460
Practice Address - Fax:310-376-7273
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA287781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice