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Individual

WEBSTER KERRY FELIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MA, FAGD

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DS040585
PA
1223P0700X
Prosthodontics
Primary
DS040585
PA

Other

Enumeration date
07/31/2015
Last updated
09/28/2024
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