Kennedy, David Mark

Kennedy, David Mark is an individual health care provider with primary practice located at 69160 Ramon Road Suite #100 , Cathedral City CA 92234. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kennedy, David Mark can be contacted via phone (760) 969-5478.

Contact Information

Primary practice address
69160 Ramon Road Suite #100 Cathedral City CA 92234
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 51346 California

Profile Details

NPI number 1265580351
LBN Legal business name Kennedy, David Mark
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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