David John Kenyon, D.D.S.
Dentist, General Practice in Altoona, WI. Individual provider (NPI-1).
NPI number1710051776
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710051776
- Entity type
- Individual (NPI-1)
- Name
- David John Kenyon
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4671 | WI | Yes |
Practice location
1326 Lynn AveAltoona, WI 54720-1943
Phone 715-832-3385
Mailing address
1326 Lynn AveAltoona, WI 54720-1943
Phone 715-832-3385
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