| NPI | 1407049612 |
|---|---|
| Former Legal Business Name | DR. BOBBY C. KENNEDY, DDS. |
| Entity Type | Organization |
| Authorized Contact | TIFFANY MONIQUE SETTLE Office Manager 916-487-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 35625) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2008-07-31 |