| NPI | 1003907288 |
|---|---|
| Other Name | KEN STOCKIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4153) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 6511) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |