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Organization
KENDALL HOMER D.M.D., INC.
Active
Organization
KENDALL HOMER D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDALL DON HOMER D.M.D. (CORPORATE OFFICER/ DENTIST)
(916) 363-9171
Entity
Organization
Contact information
Practice address
9216 KIEFER BLVD., SUITE 5, SACRAMENTO, CA 95826-5418
(916) 363-9171
(916) 363-9173
Mailing address
9216 KIEFER BLVD., SUITE 5, SACRAMENTO, CA 95826-5418
(916) 363-9171
(916) 363-9173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32428
CA
1223G0001X
General Practice Dentistry
58930
CA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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