| Kennedy R Dele, Dmd Pc | |
|
161 Jennifer Rd Ste B Annapolis MD 21401-3367 | |
| (410) 571-5014 | |
| (410) 571-5409 |
| Full Name | Kennedy R Dele, Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 161 Jennifer Rd Ste B, Annapolis, Maryland |
| Authorized Official Name and Position | Kennedy Dele (OWNER) |
| Authorized Official Contact | 4105715014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy R Dele, Dmd Pc 161 Jennifer Rd Ste B Annapolis MD 21401-3367 Ph: (410) 571-5014 | Kennedy R Dele, Dmd Pc 161 Jennifer Rd Ste B Annapolis MD 21401-3367 Ph: (410) 571-5014 |
| NPI Number | 1073341103 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073341103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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