Individual
DR. FRED KENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11453 ROBIOUS RD, NORTH CHESTERFIELD, VA 23235-4309
(804) 330-4324
(804) 330-2799
Mailing address
11453 ROBIOUS RD, NORTH CHESTERFIELD, VA 23235-4309
(804) 330-4324
(804) 330-2799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005807
VA
Other
Enumeration date
11/03/2013
Last updated
11/03/2013
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