Organization
PAUL KENWORTHY DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FRANCIS KENWORTHY DMD (DENTIST/OWNER)
(802) 238-7249
Entity
Organization
Contact information
Practice address
1 KENNEDY DR # LL4, SOUTH BURLINGTON, VT 05403-7152
(888) 720-5832
(888) 965-5114
Mailing address
1 KENNEDY DR # LL4, SOUTH BURLINGTON, VT 05403-7152
(802) 318-6944
(888) 965-5114
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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