Organization
KERNAGIS DENTAL EXCELLENCE PA
Active
Other names
KERNAGIS DENTAL EXCELLENCE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M KERNAGIS DMD (PRESIDENT)
(813) 932-3940
Entity
Organization
Contact information
Practice address
2001 W BUSCH BLVD, SUITE C, TAMPA, FL 33612-7517
(813) 932-3940
Mailing address
2001 W BUSCH BLVD, SUITE C, TAMPA, FL 33612-7517
(813) 932-3940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15191
FL
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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