Individual
DR. GARY ALLEN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
202 E 5TH ST, MARYSVILLE, OH 43040
(937) 642-3434
(937) 642-6434
Mailing address
202 E 5TH ST, MARYSVILLE, OH 43040
(937) 642-3434
(937) 642-6434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17486
OH
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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