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Organization

PAUL KENWORTHY DMD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL FRANCIS KENWORTHY DMD (OWNER/DENTIST)
(802) 879-5151
Entity
Organization

Contact information

Practice address
4 KELLOGG ROAD, ESSEX JCT., VT 05452-2815
(802) 879-5151
(866) 561-8426
Mailing address
4 KELLOGG ROAD, ESSEX JCT., VT 05452-2815
(802) 879-5151
(866) 561-8426

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016-0000975
VT

Other

Enumeration date
03/21/2008
Last updated
10/26/2015
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