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Individual
KENNETH JAMES
Active
Individual
KENNETH JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D102154500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194996645
444 WILLIAM STREET
NJ
01
—
1740345693
741 BROADWAY
NJ
01
—
1972778413
1150 SPRINGFIELD AVE
NJ
05
—
8727309
—
NJ
Enumeration date
08/31/2006
Last updated
03/07/2023
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