KENNETH W CHANCEY DMD LLC
Managed Care Organizations at Boll Weevil Cir, Enterprise, AL

License number
Alabama 3091
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MR. KENNETH W CHANCEY DMD
Title: OWNER/DENTIST
Phone: (334) 347-0036
Address
Address
534 Boll Weevil Cir, Enterprise, AL 36330
National Provider ID: 1083966386
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Kenneth W. Chancey, DMD, LLC

Enterprise, AL

Industry:
Dentistry Practice
Registration:
Jan 6, 2006
State ID:
473-197
Business type:
Domestic Limited Liability Company
Formation place:
Coffee County
Member:
Kenneth W Chancey (Member)

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