Individual
DR. MARK BARRY KAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1645 ROUTE 112, SUITE A, MEDFORD, NY 11763-3635
(631) 289-1555
(631) 289-1545
Mailing address
1645 ROUTE 112, SUITE A, MEDFORD, NY 11763-3635
(631) 289-1555
(631) 289-1545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
031564
NY
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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