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Organization
KENNEDY UPPERMAN FAMILY DENTISTRY AND ORTHODONTICS LLC
Active
Organization
KENNEDY UPPERMAN FAMILY DENTISTRY AND ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON KENNEDY (MEMBER)
(740) 701-8171
Entity
Organization
Contact information
Practice address
624 CENTRAL CTR, CHILLICOTHE, OH 45601-2248
(740) 773-4166
Mailing address
624 CENTRAL CTR, CHILLICOTHE, OH 45601-2248
(740) 773-4166
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/13/2019
Last updated
01/12/2020
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