Individual
DR. KENNETH MARK GERBER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5225 NESCONSET HWY, SUITE 6, PORT JEFFERSON STATION, NY 11776-2053
(631) 331-4200
(631) 331-4248
Mailing address
5225 NESCONSET HWY, SUITE 6, PORT JEFFERSON STATION, NY 11776-2053
(631) 331-4200
(631) 331-4248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
033409
NY
Other
Enumeration date
01/13/2006
Last updated
07/08/2007
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