Individual
DR. BRUCE KERENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 E EVESHAM ROAD, GLENDORA, NJ 08029
(856) 939-0771
(856) 939-0774
Mailing address
120 E EVESHAM ROAD, GLENDORA, NJ 08029
(856) 939-0771
(856) 939-0774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D101343000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
419503
UNITED CONCORDIA
—
Enumeration date
11/20/2006
Last updated
07/08/2007
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