# DR. JOE R KENESON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548372253
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13471 | TX | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0909418-01 | — | TX |
| 01 | — | 875927 | UNITED CONCORDIA | TX |
| 01 | — | D13471 | BLUE CROSS | TX |
