Individual
DR. JAMES EDWARD KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
910 WILLISTON PARK PT STE 1050, LAKE MARY, FL 32746-2107
(407) 833-8522
(407) 833-8523
Mailing address
455 GOLF BROOK LN APT 103, LONGWOOD, FL 32779-6104
(407) 833-8522
(407) 833-8523
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN15259
FL
Other
Enumeration date
04/09/2007
Last updated
07/11/2013
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