| Kenneth Schob, D.d.s., P.c. | |
|
97-07 63rd Rd. Rego Park NY 11374 | |
| (718) 896-2202 | |
| Not Available |
| Full Name | Kenneth Schob, D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 97-07 63rd Rd., Rego Park, New York |
| Authorized Official Name and Position | Kenneth Philip Schob (PRESIDENT) |
| Authorized Official Contact | 7188962202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Schob, D.d.s., P.c. 97-07 63rd Rd Rego Park NY 11374 Ph: (718) 896-2202 | Kenneth Schob, D.d.s., P.c. 97-07 63rd Rd. Rego Park NY 11374 Ph: (718) 896-2202 |
| NPI Number | 1750529921 |
|---|---|
| Provider Enumeration Date | 01/27/2009 |
| Last Update Date | 01/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750529921 | NPI | - | NPPES |
| 01040959 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 040245 (New York) | Primary |
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