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

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1629557517

Ketcherside Dental Corporation is an Orthodontics and Dentofacial Orthopedics Dentistry in Corona, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
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Practice location Address checks out

720 Magnolia Ave Ste A1
Corona, CA 92879-3119
Phone: (951) 737-3800
Fax: (951) 737-3937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1468 Industrial Park Ave, Redlands, CA 92374-2892 — (909) 793-1595
  • 400 W Stuart Ave Ste 110, Redlands, CA 92374-3129 — (909) 793-1595

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 28872 (CA)

Record details

NPI number1629557517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Homer Ketcherside — President · (909) 810-7167
Other names Brace Connection; Gary Ketcherside Orthodontics Inc; Packing House District Dental & Orthodontics
NPI enumeratedAugust 10, 2018
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020
Mailing address400 W Stuart Ave Ste 110, Redlands, CA 92374-3129

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