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1023361896
KENNETH LUCKIE VANDERVOORT
BIRMINGHAM, AL
NPI
1023361896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AL 5923)
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
Dr. KENNETH LUCKIE VANDERVOORT D.M.D.
1117 GLADSTONE AVE
BIRMINGHAM, AL 35213-1415
Phone number: 256-239-3890
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Mailing Address
Dr. KENNETH LUCKIE VANDERVOORT D.M.D.
1117 GLADSTONE AVE
BIRMINGHAM, AL 35213-1415
Phone number: 256-239-3890
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