Organization
JASON KENNON DMD LLC
Active
Other names
Kennon Dental Associates LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BRANCH KENNON DMD (PRESIDENT)
(850) 769-1034
Entity
Organization
Contact information
Practice address
2309 SAINT ANDREWS BLVD, PANAMA CITY, FL 32405-2171
(850) 769-1034
(850) 769-6898
Mailing address
2309 SAINT ANDREWS BLVD, PANAMA CITY, FL 32405-2171
(850) 769-1034
(850) 769-6898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15995
FL
Other
Enumeration date
11/22/2010
Last updated
12/22/2010
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