Individual
DR. KENNETH BRUCE SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
706 DEKALB PIKE, BLUE BELL, PA 19422-1214
(610) 272-0828
(610) 272-4319
Mailing address
706 DEKALB PIKE, BLUE BELL, PA 19422-1214
(610) 272-0828
(610) 272-4319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025055L
PA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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