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KENNETH GEORGE D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1205267317

Individual Registrant:
 KENNETH  GEORGE D.D.S.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1447 ZION HILL RD  FINCASTLE, VA 24090-4017 US
Tel: 540-884-2404  Fax: --

Contact information for business:
1447 ZION HILL RD  FINCASTLE, VA 24090-4017 US
Tel: 540-884-2404  Fax: --

Registration Information:
NPI: 1205267317
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
VA0401005204

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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