Individual
KENNETH MARC GEWANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
20 BUCKNELL DR, PLAINVIEW, NY 11803-1802
(516) 376-5442
Mailing address
20 BUCKNELL DR, PLAINVIEW, NY 11803-1802
(516) 376-5442
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
036102
NY
Other
Enumeration date
06/01/2005
Last updated
06/06/2014
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