KENNETH BLOODWORTH

CEDAR PARK, TX
NPI1154662690
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  11369)
Enumeration Date2013-03-07
Last Update Date2013-03-07
Business Address
-- KENNETH BLOODWORTH
2001 WINDY TER STE F
CEDAR PARK, TX 78613-4289
Phone number: 210-393-1704
Mailing Address
-- KENNETH BLOODWORTH
1674 LANTANA CIR
NEW BRAUNFELS, TX 78130-1109
Phone number: 210-393-1704