Kenneth R. Siva, D.d.s., P.c. | |
5847 Francis Lewis Blvd Suite 104 Oakland Gardens NY 11364-1601 | |
(718) 428-2626 | |
(718) 631-9426 |
Full Name | Kenneth R. Siva, D.d.s., P.c. |
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Speciality | Dentist - General Practice |
Location | 5847 Francis Lewis Blvd, Oakland Gardens, New York |
Authorized Official Name and Position | Kenneth R. Siva (PRESIDENT) |
Authorized Official Contact | 7184282626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kenneth R. Siva, D.d.s., P.c. 5847 Francis Lewis Blvd Suite 104 Oakland Gardens NY 11364-1601 Ph: (718) 428-2626 | Kenneth R. Siva, D.d.s., P.c. 5847 Francis Lewis Blvd Suite 104 Oakland Gardens NY 11364-1601 Ph: (718) 428-2626 |
NPI Number | 1356457394 |
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Provider Enumeration Date | 08/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356457394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 36722 (New York) | Primary |
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