Organization
KENNEDY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY D KENNEDY DDS (OWNER/PARTNER)
(937) 642-3434
Entity
Organization
Contact information
Practice address
202 E 5TH ST, MARYSVILLE, OH 43040-1261
(937) 642-3434
(937) 642-6434
Mailing address
202 E 5TH ST, MARYSVILLE, OH 43040-1261
(937) 642-3434
(937) 642-6434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17367
OH
122300000X
Dentist
17486
OH
Other
Enumeration date
10/03/2006
Last updated
08/04/2009
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