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Organization

WILLIAM D KENFIELD DDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM D KENFIELD DDS LLC (MEMBER)
(812) 829-4886
Entity
Organization

Contact information

Practice address
77 FAIRVIEW AVE, SPENCER, IN 47460-1513
(812) 829-4886
(812) 829-4686
Mailing address
77 FAIRVIEW AVE, SPENCER, IN 47460-1513
(812) 829-4886
(812) 829-4686

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007873
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100195260A
IN
Enumeration date
10/02/2012
Last updated
10/02/2012
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