DR. Kenneth Tannenbaum, DDS

NPI #1861412934 in Melville, New York

Provider Information

NPI Number: 1861412934
Entity Type: Individual
Name: DR. Kenneth Tannenbaum, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1 WILMINGTON DR
City: Melville
State: New York
ZIP Code: 11747-4013
Phone: (631) 643-5079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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