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1114406832
KENNETH EDWARD ALFORTISH
GRETNA, LA
NPI
1114406832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 1893)
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
Dr. KENNETH EDWARD ALFORTISH DDS
517 WHITNEY AVE
GRETNA, LA 70056-8702
Phone number: 504-368-2792
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Mailing Address
Dr. KENNETH EDWARD ALFORTISH DDS
517 WHITNEY AVE
GRETNA, LA 70056-8702
Phone number: 504-368-2792
Copy
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