| Fred F Kennett DDS PC | |
|
11453 Robious Road Richmond VA 23235 | |
| (804) 330-4324 | |
| (804) 330-2799 |
| Full Name | Fred F Kennett DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 11453 Robious Road, Richmond, Virginia |
| Authorized Official Name and Position | Fred Frost Kennett (PRESIDENT) |
| Authorized Official Contact | 8043304324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred F Kennett DDS PC 11453 Robious Road Richmond VA 23235 Ph: (804) 330-4324 | Fred F Kennett DDS PC 11453 Robious Road Richmond VA 23235 Ph: (804) 330-4324 |
| NPI Number | 1396932604 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396932604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | VA005807 (Virginia) | Primary |
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