DR. Sandra Huebsch Kennedy, D,D,S,

NPI #1912070590 in Blaine, Minnesota

Provider Information

NPI Number: 1912070590
Entity Type: Individual
Name: DR. Sandra Huebsch Kennedy, D,D,S,
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D,D,S,
Enumeration Date: Nov 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11800 ABERDEEN ST NE STE 110
City: Blaine
State: Minnesota
ZIP Code: 55449-4812
Phone: (763) 786-4280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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