Individual
DR. KENNETH ETHERIDGE CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1551 WESTBROOK PLAZA DR, STE 201, WINSTON SALEM, NC 27103
(336) 765-8878
(336) 765-4480
Mailing address
1551 WESTBROOK PLAZA DR, STE 201, WINSTON SALEM, NC 27103
(336) 765-8878
(336) 765-4480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G126
NC
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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