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1447394556
KENNETH ALTON PEAVY
WINSTON SALEM, NC
NPI
1447394556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: NC 5876)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
Dr. KENNETH ALTON PEAVY D.M.D.
1400 WESTGATE CENTER DR SUITE 204
WINSTON SALEM, NC 27103-3104
Phone number: 336-774-3001
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Mailing Address
Dr. KENNETH ALTON PEAVY D.M.D.
1400 WESTGATE CENTER DR SUITE 204
WINSTON SALEM, NC 27103-3104
Phone number: 336-774-3001
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