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Organization
MILLHOPPER FAMILY DENTISTRY PA
Active
Organization
MILLHOPPER FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WILLIAM KNOPF DMD (OWNER PRESIDENT)
(352) 377-1705
Entity
Organization
Contact information
Practice address
3510 NW 43RD STREET, GAINESVILLE, FL 32606-6104
(352) 377-1705
(352) 377-1093
Mailing address
3510 NW 43RD STREET, GAINESVILLE, FL 32606-6104
(352) 377-1705
(352) 377-1093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN18867
FL
122300000X
Dentist
DN19319
FL
1223G0001X
General Practice Dentistry
Primary
DN008805
FL
1223G0001X
General Practice Dentistry
DN17110
FL
Other
Enumeration date
10/25/2006
Last updated
12/01/2011
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