Individual
DR. KENNETH LEE STOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
132 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1372
(631) 473-6400
(631) 473-7297
Mailing address
132 TERRYVILLE RD, P.O. BOX 222, PORT JEFFERSON STATION, NY 11776-1372
(631) 473-6400
(631) 473-7297
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
030286
NY
Other
Enumeration date
07/22/2005
Last updated
04/29/2008
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