Organization
KENNETH SCHOB, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH PHILIP SCHOB D.D.S., P.C. (PRESIDENT)
(718) 896-2202
Entity
Organization
Contact information
Practice address
97-07 63RD RD., REGO PARK, NY 11374
(718) 896-2202
Mailing address
97-07 63RD RD, REGO PARK, NY 11374
(718) 896-2202
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
01/27/2009
Last updated
01/27/2009
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