KENNETH LEE STAUDT

PORT ORANGE, FL
NPI1225258270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN00011886)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Dr. KENNETH LEE STAUDT DDS MPH
944 BRIDGEWATER DR #2B
PORT ORANGE, FL 32129
Phone number: 386-756-8953
Mailing Address
Dr. KENNETH LEE STAUDT DDS MPH
944 BRIDGEWATER DR #2B
PORT ORANGE, FL 32129
Phone number: 386-756-8953
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