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1861412934
KENNETH TANNENBAUM
MELVILLE, NY
NPI
1861412934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 038949)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
Dr. KENNETH TANNENBAUM DDS
1 WILMINGTON DR
MELVILLE, NY 11747-4013
Phone number: 631-643-5079
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Mailing Address
Dr. KENNETH TANNENBAUM DDS
1 WILMINGTON DR
MELVILLE, NY 11747-4013
Phone number: 631-643-5079
Copy
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