DR. Kenneth R. Siva, D.D.S.
NPI #1023013919 in Oakland Gardens, New York
Provider Information
- NPI Number
- 1023013919
- Entity Type
- Individual
- Name
- DR. Kenneth R. Siva, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 16, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5847 FRANCIS LEWIS BLVD
- Address 2
- STE 104
- City
- Oakland Gardens
- State
- New York
- ZIP Code
- 11364-1601
- Phone
- (718) 428-2626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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