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Individual

DR. HENRY A KNOWLES JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4318 KELSON AVE, MARIANNA, FL 32446-2994
(850) 526-3939
(850) 526-3532
Mailing address
4318 KELSON AVE, MARIANNA, FL 32446-2994
(850) 526-3939
(850) 526-3532

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15194
FL

Other

Enumeration date
03/30/2006
Last updated
07/08/2007
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