| NPI | 1568764769 |
|---|---|
| Doing Business As | KENNON DENTAL ASSOCIATES LLC |
| Entity Type | Organization |
| Authorized Contact | JASON BRANCH KENNON President 850-769-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 15995) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-12-22 |