| Kenneth L. Miniman, D.d.s. P.c. | |
|
1022 E Baltimore Pike Media PA 19063-5122 | |
| (610) 565-7850 | |
| (610) 565-8626 |
| Full Name | Kenneth L. Miniman, D.d.s. P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1022 E Baltimore Pike, Media, Pennsylvania |
| Authorized Official Name and Position | Kenneth Miniman (PRESIDENT) |
| Authorized Official Contact | 6105657850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth L. Miniman, D.d.s. P.c. 1022 E Baltimore Pike Media PA 19063-5122 Ph: (610) 565-7850 | Kenneth L. Miniman, D.d.s. P.c. 1022 E Baltimore Pike Media PA 19063-5122 Ph: (610) 565-7850 |
| NPI Number | 1780902924 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 05/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780902924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019654 (Pennsylvania) | Primary |
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