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Kenneth Andujar, DDS
Student in an Organized Health Care Education/Training Program in Wauchula, Florida
NPI 1538802673

Kenneth Andujar is a Student in an Organized Health Care Education/Training Program based in Winter Haven, FL. Kenneth Andujar practices in Wauchula, FL and has the professional credentials of DDS. The NPI Number for Kenneth Andujar is 1538802673 and holds a License No. DN27575 (Florida).

The current practice location address for Kenneth Andujar is 807 Cobb Ct, Wauchula, FL and can be reached out via phone at 866-234-8534.

Location: 807 Cobb Ct, Wauchula, FL, 33881-4672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538802673
Provider Name
Kenneth Andujar
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
807 Cobb Ct, Wauchula, FL, 33881-4672
Phone Number
866-234-8534
Fax Number
Provider Enumeration Date
04/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
807 Cobb Ct
City
Wauchula
State
Florida
Zip
33873-3161
Phone Number
866-234-8534
Fax Number
person
Provider Business Mailing Address Details
Address
807 Cobb Ct
City
Wauchula
State
Florida
Zip
33873-3161
Phone Number
866-234-8534
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DN27575 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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