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Organization
KENNON DENTAL ASSOCIATES PA
Active
Organization
KENNON DENTAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE BRANCH KENNON D.D.S. (OWNER)
(850) 769-1034
Entity
Organization
Contact information
Practice address
2309 ST ANDREWS, #B, PANAMA CITY, FL 32413
(850) 769-1034
Mailing address
2309 ST ANDREWS, B, PANAMA CITY, FL 32413
(850) 769-1034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4868
FL
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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