Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kennie Kwok DMD, Inc

Organization Periodontics · NPI 1073966057

Kennie Kwok DMD, Inc provides Periodontics in San Diego, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4060 4th Ave Ste 303
San Diego, CA 92103-2120 Not confirmed with CMS for 10 years — call before visiting
Phone: (619) 543-0905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 65162 (CA)

Record details

NPI number1073966057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kennie Kwok — President · (619) 543-0905
Other names San Diego Periodontics & Implant Dentistry
NPI enumeratedJuly 14, 2016
Last updated in NPPESJuly 14, 2016
Mailing address4060 4th Ave Ste 303, San Diego, CA 92103-2120

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