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1629226568
KENNETH GREGORY FELLERMAN
BRONX, NY
NPI
1629226568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 033489)
Enumeration Date
2008-09-04
Last Update Date
2008-09-04
Business Address
Dr. KENNETH GREGORY FELLERMAN DMD
55 EAST 210TH ST SUITE 1B
BRONX, NY 10467
Phone number: 718-547-8200
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Mailing Address
Dr. KENNETH GREGORY FELLERMAN DMD
55 EAST 210TH ST
BRONX, NY 10467
Phone number: 718-547-8200
Copy
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