Individual
DR. KENNETH BERNARD CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23808 HOLLYWOOD ROAD, LEONARDTOWN, MD 20650
(301) 475-5926
(301) 475-5971
Mailing address
23808 HOLLYWOOD ROAD, LEONARDTOWN, MD 20650
(301) 475-5926
(301) 475-2653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6787
MD
Other
Enumeration date
04/10/2007
Last updated
09/23/2016
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