Individual
DR. KENNETH RAY TRIPP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1906 S MAIN ST, SUITE 218, WAKE FOREST, NC 27587-5032
(919) 556-5566
(919) 562-5537
Mailing address
1906 S MAIN ST, SUITE 218, WAKE FOREST, NC 27587-5032
(919) 556-5566
(919) 562-5537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
#6308
NC
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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