Kenneth R. Siva, D.d.s., P.c. is a health care provider in Oakland Gardens, NY. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||5847 Francis Lewis Blvd, Suite 104, Oakland Gardens, NY 11364-1601, US|
|Practice Location Phone||718-428-2626|
|Practice Location Fax||718-631-9426|
|Legal Business Name||KENNETH R. SIVA, D.D.S., P.C.|
|Enumeration Date ?||Aug 22, 2006|
|Last Update Date ?||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers||General Practice||36722||New York|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Kenneth R. Siva, D.d.s., P.c.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Dr. Kenneth R. Siva (D.D.S.)|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||718-428-2626|