DR. Kenneth Liard Gould III, D.D.S.

NPI #1144243643 in Racine, Wisconsin

Provider Information

NPI Number: 1144243643
Entity Type: Individual
Name: DR. Kenneth Liard Gould III, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1831 S GREENBAY RD
City: Racine
State: Wisconsin
ZIP Code: 53406-4605
Phone: (262) 633-0080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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