Individual
DR. MAX KERNIZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
382 N MAIN ST, EAST LONGMEADOW, MA 01028-1828
(413) 525-0100
Mailing address
1210 CHAPEL ST, NEW HAVEN, CT 06511-4702
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1857556
MA
Other
Enumeration date
05/23/2013
Last updated
07/17/2017
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