KENNETH JEROME DEACON

BALTIMORE, MD
NPI1093921868
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MD  8170)
Enumeration Date2007-05-16
Last Update Date2015-12-20
Business Address
Dr. KENNETH JEROME DEACON DDS
9100 FRANKLIN SQUARE DR EASTERN FAMILY RESOURCE CENTER DENTAL CLINIC
BALTIMORE, MD 21237-3903
Phone number: 410-887-6440
Mailing Address
Dr. KENNETH JEROME DEACON DDS
3525 RESOURCE DR
RANDALLSTOWN, MD 21133-4733
Phone number: 410-887-0613
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