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1407879687
KENNETH LAWRENCE MUNDY
LAKELAND, FL
NPI
1407879687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: FL DN6080)
Enumeration Date
2006-07-26
Last Update Date
2008-06-26
Business Address
DR. KENNETH LAWRENCE MUNDY DDS
4326 HIGHLAND PARK BLVD
LAKELAND, FL 33813-1647
Phone number: 863-644-6418
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Mailing Address
DR. KENNETH LAWRENCE MUNDY DDS
4326 HIGHLAND PARK BLVD
LAKELAND, FL 33813-1647
Phone number: 863-644-6418
Copy
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