Individual
KENNETH E. CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1121 E STADIUM BLVD, ANN ARBOR, MI 48104-4615
(734) 662-6772
(734) 662-7973
Mailing address
1121 E STADIUM BLVD, ANN ARBOR, MI 48104-4615
(734) 662-6772
(734) 662-7973
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9401
MI
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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