Angela Rena Kennedy Alcorn RDH

NPI 1417184250 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1417184250
Gender Female
Enumeration Date 06/19/2009
Last Updated 06/19/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
11661 PRESTON RD STE 104
DALLAS TX, 75230-6196, US
Phone (214) 361-4151
Fax
Business Location
11661 PRESTON RD STE 104
DALLAS TX, 75230-6196, US
Phone (214) 361-4151
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Texas
License Number 8916
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According to our database, Mrs. Angela Rena Kennedy Alcorn RDH NPI is 1417184250, taxonomy code is 124Q00000X and license number is 8916, license state is located at Texas. Angela Rena Kennedy Alcorn RDH physically located at 11661 Preston Rd Ste 104, Dallas TX, 75230-6196. NPI Number Angela Rena Kennedy Alcorn RDH has the Individual type.

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1417184250 NPI number is provided on an as is basis without warranty of any kind. 1417184250 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Rena Kennedy Alcorn RDH are for informational purposes only.