Kenny Durandis
Kenny Durandis is a General Practice Dentistry in Brockton, Massachusetts. Licensed in District of Columbia and Massachusetts. Registered with an NPI since 2006.
- Licensed in
- DC, MA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
715 Crescent St Ste 9ABrockton, MA 02302-3363
Phone: (508) 894-3001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 20386 (MA) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence DEN1000580 (DC) |
Record details
| NPI number | 1992893283 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 11, 2006 |
| Last updated in NPPES | August 20, 2007 |
| Mailing address | 24 Westhaven Dr, Brockton, MA 02301-1053 |
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