Individual
DR. FREDERIC ROBERT KUNKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
165 N VILLAGE AVE, SUITE 126, ROCKVILLE CENTRE, NY 11570-3761
(516) 536-8888
(516) 536-8960
Mailing address
165 N VILLAGE AVE, SUITE 126, ROCKVILLE CENTRE, NY 11570-3761
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
027299
NY
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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