Individual
MS. JULIE MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3170 44TH ST S., SUITE 100, FARGO, ND 58104
(701) 235-2860
(701) 235-4179
Mailing address
3170 44TH ST S., SUITE 100, FARGO, ND 58104
(701) 235-2860
(701) 235-4179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12436
MN
Other
Enumeration date
08/22/2007
Last updated
04/28/2017
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