Individual
DR. KENNETH NEIL SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
446 ROUTE 304, BARDONIA, NY 10954-1617
(845) 623-6666
(845) 623-6748
Mailing address
446 ROUTE 304, BARDONIA, NY 10954-1617
(845) 623-6666
(845) 623-6748
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
33907
NY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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