Organization
KENNETT ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA KELLY (OFFICE MANAGER)
(302) 733-7600
Entity
Organization
Contact information
Practice address
120 LAFAYETTE ST, KENNETT SQUARE, PA 19348-3000
(610) 444-6997
Mailing address
120 LAFAYETTE ST, KENNETT SQUARE, PA 19348-3000
(610) 444-6997
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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