KENNETH TANNENBAUM

MELVILLE, NY
NPI1861412934
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  038949)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
Dr. KENNETH TANNENBAUM DDS
1 WILMINGTON DR
MELVILLE, NY 11747-4013
Phone number: 631-643-5079
Mailing Address
Dr. KENNETH TANNENBAUM DDS
1 WILMINGTON DR
MELVILLE, NY 11747-4013
Phone number: 631-643-5079
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