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Individual
DR. BRUCE KERENSKY
Active
Individual
DR. BRUCE KERENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D101343000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
419503
UNITED CONCORDIA
—
Enumeration date
11/20/2006
Last updated
07/08/2007
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