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Individual
DR. KENNETH LEROY ANDERSON III
Active
Individual
DR. KENNETH LEROY ANDERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D12714
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN 22380
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN22380
FL
Other
Enumeration date
05/03/2007
Last updated
12/15/2024
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