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Dr. Kenneth L. Miniman, DDS
Pediatric Dentist in Media, Pennsylvania
NPI 1699845586

Kenneth L. Miniman is a Pediatric Dentist based in Media, PA and is specialized in Pediatric Dentistry. Kenneth L. Miniman practices in Media, PA and has the professional credentials of DDS. The NPI Number for Kenneth L. Miniman is 1699845586 and holds a License No. DS019654L (Pennsylvania).

The current practice location address for Kenneth L. Miniman is 1022 East Baltimore Pk, Media, PA and can be reached out via phone at 610-565-7850 and via fax at 610-565-8626.

Location: 1022 East Baltimore Pk, Media, PA, 19063-5122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699845586
Provider Name
Kenneth L. Miniman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1022 East Baltimore Pk, Media, PA, 19063-5122
Phone Number
610-565-7850
Fax Number
610-565-8626
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1022 East Baltimore Pk
City
Media
State
Pennsylvania
Zip
19063-5122
Phone Number
610-565-7850
Fax Number
610-565-8626
person
Provider Business Mailing Address Details
Address
1022 East Baltimore Pk
City
Media
State
Pennsylvania
Zip
19063-5122
Phone Number
610-565-7850
Fax Number
610-565-8626
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DS019654L (Pennsylvania)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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