Individual
DR. JACK DAVID KEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
60 WATERBURY RD, PROSPECT, CT 06712-1250
(203) 527-3855
Mailing address
154 HAVEN AVE APT 1210, NEW YORK, NY 10032-1180
(616) 644-1743
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12688
CT
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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