KENNETH GRUNDSET PA

LARGO, FL
NPI1699185298
Entity TypeOrganization
Authorized ContactKENNETH GRUNDEST
Owner
727-282-1970
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: FL  DN 04596)
Enumeration Date2014-05-05
Last Update Date2014-11-25
Business Address
KENNETH GRUNDSET PA
9634 107TH AVE N
LARGO, FL 33773-4503
Phone number: 727-851-6870
Mailing Address
KENNETH GRUNDSET PA
9634 107TH AVE N
LARGO, FL 33773-4503
Phone number: 727-851-6870
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