Organization
PAUL A KENNEDY, JR., D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A KENNEDY DDS (PRESIDENT)
(361) 992-9500
Entity
Organization
Contact information
Practice address
6200 SARATOGA BLVD, CORPUS CHRISTI, TX 78414-3421
(361) 992-9500
(361) 992-1862
Mailing address
6200 SARATOGA BLVD, BUILDING 1, CORPUS CHRISTI, TX 78414-3477
(361) 992-9500
(361) 992-1862
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8445
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8445
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
8445
TX
Other
Enumeration date
07/21/2006
Last updated
11/06/2007
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