institution
Kenneth Grundset Pa
Dental Clinic/Center in Largo, Florida
NPI 1699185298

Kenneth Grundset Pa is a Dental Clinic/Center based in Largo, FL and is specialized in Dental. Kenneth Grundset Pa practices in Largo, FL. The NPI Number for Kenneth Grundset Pa is 1699185298 and holds a License No. DN 04596 (Florida).

The current practice location address for Kenneth Grundset Pa is 9634 107Th Ave N, Largo, FL and can be reached out via phone at 727-851-6870.

Location: 9634 107Th Ave N, Largo, FL, 33773-4503
institution
Provider Profile Details
NPI Number
1699185298
Provider Name
Kenneth Grundset Pa
Credential
Provider Entity Type
Organization
Address
9634 107Th Ave N, Largo, FL, 33773-4503
Phone Number
727-851-6870
Fax Number
Provider Enumeration Date
05/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9634 107Th Ave N
City
State
Zip
33773-4503
Phone Number
727-851-6870
Fax Number
person
Provider Business Mailing Address Details
Address
9634 107Th Ave N
City
State
Zip
33773-4503
Phone Number
727-851-6870
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DN 04596 (Florida)
Definition
Definition to come...
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