Individual
DR. KENNETH C DYER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.S.
Contact information
Practice address
4610 BRAINERD RD, SUITE 3, CHATTANOOGA, TN 37411-3835
(423) 624-6525
(423) 629-9889
Mailing address
4610 BRAINERD RD, SUITE 3, CHATTANOOGA, TN 37411-3835
(423) 624-6525
(423) 629-9889
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS9149
TN
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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