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Individual
DR. KENNETH M HARGREAVES
Active
Individual
DR. KENNETH M HARGREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PHD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349457
UNITED CONCORDIA
—
01
—
85D059
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/12/2006
Last updated
07/08/2007
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