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Individual
BRYAN T KENDRICKS
Active
Individual
BRYAN T KENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9978
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D007143D
AL
Other
Enumeration date
04/12/2017
Last updated
09/08/2023
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