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Kenny Durandis
NPI 1992893283 · on the registry since 2006
Practice
- Address
- 715 Crescent St Ste 9a
Brockton, MA 02302 - Phone
- (508) 894-3001
- Organisation at this address
- Jnel Inc
Hathaway Road Dental, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
- Licence states on file
- MA, DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts