Organization
KENNETH E STONER DDS., FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH E STONER DDS (DENTIST-PRESIDENT)
(804) 743-3490
Entity
Organization
Contact information
Practice address
4106A MEADOWDALE BLVD, NORTH CHESTERFIELD, VA 23234-5503
(804) 743-3491
(804) 743-3490
Mailing address
4106A MEADOWDALE BLVD, NORTH CHESTERFIELD, VA 23234-5503
(804) 743-3490
(804) 743-3490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005143
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802056
—
VA
Enumeration date
09/28/2006
Last updated
11/19/2014
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