Organization
POWDERSVILLE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KENNEDY JR. DMD (OWNER)
(864) 386-2753
Entity
Organization
Contact information
Practice address
102 CLAIR DR, POWDERSVILLE, SC 29673-7771
(864) 269-3662
Mailing address
PO BOX 31625, GREENVILLE, SC 29608-1625
(864) 501-0070
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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