Individual
DR. KENNETH PHILIP SCHOB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
97-07 63RD RD, REGO PARK, NY 11374
(718) 896-2202
Mailing address
16241 POWELLS COVE BLVD, BEECHHURST, NY 11357-1449
(718) 767-5128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040245
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01040959
—
NY
Enumeration date
11/14/2005
Last updated
07/08/2007
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