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Individual
DR. KENNETH TASKER
Active
Individual
DR. KENNETH TASKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4853
NM
1223P0221X
Pediatric Dentistry
D010615
AZ
Other
Enumeration date
02/18/2016
Last updated
05/16/2023
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