Organization
JETTY UNITED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A KENNEDY III DDS (DOCTOR/OWNER)
(210) 971-6018
Entity
Organization
Contact information
Practice address
10003 NW MILITARY HWY STE 3201, SAN ANTONIO, TX 78231-1892
(210) 417-4181
(210) 504-4969
Mailing address
10003 NW MILITARY HWY STE 3201, SAN ANTONIO, TX 78231-1892
(210) 971-6018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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