Dr Kenneth Mcdougall PC

NPI #1366774994 in Jamestown, North Dakota

Provider Information

NPI Number: 1366774994
Entity Type: Organization
Organization Name: Dr Kenneth Mcdougall PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 8, 2010
Last Updated: Feb 23, 2010

Practice Location

Address: 815 1ST AVE S
City: Jamestown
State: North Dakota
ZIP Code: 58401-4746
Phone: (701) 251-2240

Authorized Official

Name: DR. KENNETH DALE MCDOUGALL, DDS
Title: PRESIDENT
Phone: (701) 251-2240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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