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NPI Code Detail

MEDICARE: DR. KENNETH BERNARD EMBLER D.D.S.

MEDICARE:  DR. KENNETH BERNARD EMBLER  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry00006782FL

General Provider Information

NPI Number : 1710005947
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH BERNARD EMBLER D.D.S.
Provider Business Mailing Address
First Line : 1897 PALM BEACH LAKES BLVD
Second Line : SUITE #106
City : WEST PALM BEACH
State : FL
Zip : 33409-3507
Country : US
Telephone Number : 561-683-0700
Fax Number :
Provider Business Practice Location Address
First Line : 1897 PALM BEACH LAKES BLVD
Second Line : SUITE #106
City : WEST PALM BEACH
State : FL
Zip : 33409-3507
Country : US
Telephone Number : 561-683-0700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 07/08/2007

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Directions to “ DR. KENNETH BERNARD EMBLER D.D.S.” Practice Location

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