KENNETH FRANK DIANA

BRICK, NJ
NPI1114044807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NJ  DI12621)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
-- KENNETH FRANK DIANA DDS
419 NASSAU ST
BRICK, NJ 08723-5025
Phone number: 732-477-1242
Mailing Address
-- KENNETH FRANK DIANA DDS
419 NASSAU ST
BRICK, NJ 08723-5025
Phone number: 732-477-1242
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