KENNETH LUCKIE VANDERVOORT

BIRMINGHAM, AL
NPI1023361896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AL  5923)
Enumeration Date2012-10-18
Last Update Date2012-10-18
Business Address
Dr. KENNETH LUCKIE VANDERVOORT D.M.D.
1117 GLADSTONE AVE
BIRMINGHAM, AL 35213-1415
Phone number: 256-239-3890
Mailing Address
Dr. KENNETH LUCKIE VANDERVOORT D.M.D.
1117 GLADSTONE AVE
BIRMINGHAM, AL 35213-1415
Phone number: 256-239-3890