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Organization
WILLIAM D KENFIELD DDS LLC
Active
Organization
WILLIAM D KENFIELD DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM D KENFIELD DDS LLC (MEMBER)
(812) 829-4886
Entity
Organization
Contact information
Practice address
77 FAIRVIEW AVE, SPENCER, IN 47460-1513
(812) 829-4886
(812) 829-4686
Mailing address
77 FAIRVIEW AVE, SPENCER, IN 47460-1513
(812) 829-4886
(812) 829-4686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007873
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100195260A
—
IN
Enumeration date
10/02/2012
Last updated
10/02/2012
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