DR. Kenneth Edward Alfortish, DDS

NPI #1114406832 in Gretna, Louisiana

Provider Information

NPI Number: 1114406832
Entity Type: Individual
Name: DR. Kenneth Edward Alfortish, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 13, 2018
Last Updated: Aug 13, 2018

Practice Location

Address: 517 WHITNEY AVE
City: Gretna
State: Louisiana
ZIP Code: 70056-8702
Phone: (504) 368-2792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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