Individual
KENNETH ADAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1759 VIDALIA CT, GREENWOOD, IN 46143-6946
(317) 691-8838
Mailing address
1759 VIDALIA CT, GREENWOOD, IN 46143-6946
(317) 691-8838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007211A
IN
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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