The Kenedy Dentist, Pllc

NPI #1417764937 in Kenedy, Texas

Provider Information

NPI Number: 1417764937
Entity Type: Organization
Organization Name: The Kenedy Dentist, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 17, 2024
Last Updated: Dec 17, 2024

Practice Location

Address: 131 BUSINESS PARK BLVD STE 600
City: Kenedy
State: Texas
ZIP Code: 78119-3512
Phone: (972) 838-3772

Authorized Official

Name: DR. MAXIM MOSSMAN, DDS
Title: OWNER
Phone: (972) 838-3772

Specialties & Taxonomy Codes

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

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