| Henken & Kennedy Orthodontic Dental Group | |
|
1171 Puerta Del Sol Suite B San Clemente CA 92673-6343 | |
| (949) 661-3336 | |
| (949) 366-0094 |
| Full Name | Henken & Kennedy Orthodontic Dental Group |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1171 Puerta Del Sol, San Clemente, California |
| Authorized Official Name and Position | David Kennedy (PARTNER) |
| Authorized Official Contact | 9496613336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henken & Kennedy Orthodontic Dental Group 1171 Puerta Del Sol Suite B San Clemente CA 92673-6343 Ph: (949) 661-3336 | Henken & Kennedy Orthodontic Dental Group 1171 Puerta Del Sol Suite B San Clemente CA 92673-6343 Ph: (949) 661-3336 |
| NPI Number | 1255584280 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 11/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255584280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 51346 (California) | Primary |
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