Organization
KENDRICK & JONES DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL D. KENDRICK DMD (MANAGING MEMBER)
(217) 525-6872
Entity
Organization
Contact information
Practice address
1226 N LEDLIE AVE, SPRINGFIELD, IL 62702-2542
(217) 525-6872
Mailing address
1226 N LEDLIE AVE, SPRINGFIELD, IL 62702-2542
(217) 525-6872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019016476
IL
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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