Organization
KENNEDY FAMILY DENTISTRY, INC
Active
Other names
Dr. Bobby C. Kennedy, DDS.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY MONIQUE SETTLE OM (OFFICE MANAGER)
(916) 487-5152
Entity
Organization
Contact information
Practice address
1611 EXECUTIVE CT STE 200, SACRAMENTO, CA 95864-2648
(916) 487-5160
Mailing address
1611 EXECUTIVE CT STE 200, SACRAMENTO, CA 95864-2648
(916) 487-5160
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
35625
CA
Other
Enumeration date
08/21/2007
Last updated
07/31/2008
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