Organization
HENKEN & KENNEDY ORTHODONTIC DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KENNEDY DDS, MS (PARTNER)
(949) 661-3336
Entity
Organization
Contact information
Practice address
1171 PUERTA DEL SOL, SUITE B, SAN CLEMENTE, CA 92673-6343
(949) 661-3336
(949) 366-0094
Mailing address
1171 PUERTA DEL SOL, SUITE B, SAN CLEMENTE, CA 92673-6343
(949) 661-3336
(949) 366-0094
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51346
CA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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