KENNETH LEE STEPHEN

TAMPA, FL
NPI1376431858
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL  30270)
Enumeration Date2025-06-25
Last Update Date2025-06-25
Business Address
KENNETH LEE STEPHEN
3216 W SAN MIGUEL ST
TAMPA, FL 33629-5949
Phone number: 216-701-4023
Mailing Address
KENNETH LEE STEPHEN
3216 W SAN MIGUEL ST
TAMPA, FL 33629-5949
Phone number:
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