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Individual

KENNETH CRAIG HOBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
554 KEILY STREET, BUREAU OF MED AND SURG CCPD, JACKSONVILLE, FL 32212
(757) 953-7011
Mailing address
554 KEILY STREET, BUREAU OF MED AND SURG CCPD, JACKSONVILLE, FL 32212
(757) 953-7011

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040402
PA

Other

Enumeration date
06/19/2015
Last updated
06/19/2015
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