Kenneth R. Siva D.D.S.

NPI 1023013919 - Dentist - 1223G0001X

NPI Details
NPI 1023013919
Gender Male
Enumeration Date 06/16/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
5847 FRANCIS LEWIS BLVD
STE 104
OAKLAND GARDENS NY, 11364-1601, US
Phone (718) 428-2626
Fax (718) 631-9426
Business Location
5847 FRANCIS LEWIS BLVD
STE 104
OAKLAND GARDENS NY, 11364-1601, US
Phone (718) 428-2626
Fax (718) 631-9426
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 36722
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According to our database, Dr. Kenneth R. Siva D.D.S. NPI is 1023013919, taxonomy code is 1223G0001X and license number is 36722, license state is located at New York. Kenneth R. Siva D.D.S. physically located at 5847 Francis Lewis Blvd, Oakland Gardens NY, 11364-1601. NPI Number Kenneth R. Siva D.D.S. has the Individual type.

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1023013919 NPI number is provided on an as is basis without warranty of any kind. 1023013919 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth R. Siva D.D.S. are for informational purposes only.