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KENNETH GEORGE D.D.S.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1205267317
Individual Registrant: KENNETH GEORGE D.D.S.
Gender: M
Not Sole Proprietor
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: --
Tel: 540-884-2404 Fax: --
Contact information for business:
1447 ZION HILL RD FINCASTLE, VA 24090-4017 US
Tel: 540-884-2404 Fax: --
Tel: 540-884-2404 Fax: --
Registration Information:
NPI: 1205267317
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | VA | 0401005204 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
