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Organization
KENNETH E. ABOUSSIE DDS
Active
Organization
KENNETH E. ABOUSSIE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH E ABOUSSIE (OWNER)
(940) 723-6677
Entity
Organization
Contact information
Practice address
2300 HARRISON ST, WICHITA FALLS, TX 76308
(940) 723-6677
(940) 723-6670
Mailing address
2300 HARRISON ST, WICHITA FALLS, TX 76308
(940) 723-6677
(940) 723-6670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9648
TX
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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