Organization
KENNETH L. MUNDY D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY K MUNDY (ADMINISTRATOR)
(863) 644-6418
Entity
Organization
Contact information
Practice address
4326 HIGHLAND PARK BLVD, LAKELAND, FL 33813-1647
(863) 644-6418
(863) 644-6419
Mailing address
4326 HIGHLAND PARK BLVD, LAKELAND, FL 33813-1647
(863) 644-6418
(863) 644-6419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN6080
FL
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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