Organization
THOMAS JOHN KENNEDY OF MISSOURI, DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J KENNEDY DDS (OFFICER)
(800) 658-2177
Entity
Organization
Contact information
Practice address
1708 MISSOURI STATE RD, ARNOLD, MO 63010-2006
(636) 287-9331
Mailing address
1708 MISSOURI STATE RD, ARNOLD, MO 63010-2006
(636) 287-9331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011904
MO
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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