IndividualActive
Kenneth Storum, DDS
NPI 1366450413 · Oral and Maxillofacial Pathology Dentistry · San Diego, CA
Provider details
- NPI number
- 1366450413
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 030774 (CA)
Practice location
2655 Camino Del Rio North #140
San Diego, CA 92108
Phone: (619) 282-7088
Fax: (619) 282-6290
Mailing address
2655 Camino Del Rio North #140
San Diego, CA 92108
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.