Individual
KENNETH HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2016 BRONXDALE AVE, THIRD FLOOR SUITE 303, BRONX, NY 10462
(718) 792-7972
(718) 792-8311
Mailing address
2016 BRONXDALE AVE, THIRD FLOOR SUITE 303, BRONX, NY 10462
(718) 792-7972
(718) 792-8311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049551-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH7837872
—
NY
Enumeration date
09/28/2006
Last updated
07/08/2007
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