Individual
DR. CHARLES KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4830 QUAIL CREST PL, LAWRENCE, KS 66049-3838
(785) 843-8610
Mailing address
6347 HAGAN ST, SHAWNEE, KS 66216-2293
(573) 808-5612
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
61435
KS
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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