Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kevin La DDS Professional Dental Corporation

Organization General Practice Dentistry · NPI 1053731166

Kevin La DDS Professional Dental Corporation provides General Practice Dentistry in Fullerton, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

1401 S Brookhurst Rd Ste 104
Fullerton, CA 92833-4492 Not confirmed with CMS for 12 years — call before visiting
Phone: (714) 879-2828
Fax: (714) 879-2226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 48734 (CA)

Record details

NPI number1053731166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin La — President · (714) 879-2828
Other names 1st Choice Dental Group 2
NPI enumeratedApril 16, 2014
Last updated in NPPESApril 16, 2014
Mailing address1401 S Brookhurst Rd Ste 104, Fullerton, CA 92833-4492

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