Individual
DR. MATTHEW KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4252 N VERRADO WAY, SUITE 105, BUCKEYE, AZ 85396-7586
(602) 214-5479
(623) 594-8120
Mailing address
4252 N VERRADO WAY, SUITE 105, BUCKEYE, AZ 85396-7586
(602) 214-5479
(623) 594-8120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5910
AZ
Other
Enumeration date
01/02/2007
Last updated
12/06/2011
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