KENNETH WAYNE BASS

FORT MYERS, FL
NPI1093899361
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  10876)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
Dr. KENNETH WAYNE BASS D.D.S.
5248 RED CEDAR DR STE 101
FORT MYERS, FL 33907-4522
Phone number: 239-939-4737
Mailing Address
Dr. KENNETH WAYNE BASS D.D.S.
5248 RED CEDAR DR STE 101
FORT MYERS, FL 33907-4522
Phone number: 239-939-4737
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