| Kenner Family Dentistry | |
|
501 5th Ave Se Devils Lake ND 58301-3621 | |
| (701) 662-4141 | |
| Not Available |
| Full Name | Kenner Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 501 5th Ave Se, Devils Lake, North Dakota |
| Authorized Official Name and Position | Sarah Cavanaugh (DENTIST) |
| Authorized Official Contact | 7016624141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenner Family Dentistry Po Box 220 Devils Lake ND 58301-0220 Ph: (701) 662-4141 | Kenner Family Dentistry 501 5th Ave Se Devils Lake ND 58301-3621 Ph: (701) 662-4141 |
| NPI Number | 1568146892 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568146892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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