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Individual

DR. KENNETH ROBERT EYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
408 S MAIN STREET, WOODSTOCK, VA 22664
(540) 459-4341
(540) 459-1931
Mailing address
10172 BONNY BRAE LANE, BROADWAY, VA 22815
(540) 896-9008
(540) 896-9099

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007023
VA

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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