Individual
DR. RAYMOND A KENZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
220 S NOVA RD, ORMOND BEACH, FL 32174-6117
(386) 672-9440
(386) 672-4447
Mailing address
220 S NOVA RD, ORMOND BEACH, FL 32174-6117
(386) 672-9440
(386) 672-4447
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN6025
FL
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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