Individual
DR. KENNETH L. MINIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1022 EAST BALTIMORE PK, MEDIA, PA 19063-5122
(610) 565-7850
(610) 565-8626
Mailing address
1022 E BALTIMORE PIKE, MEDIA, PA 19063-5122
(610) 565-7850
(610) 565-8626
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS019654L
PA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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