DR. Edward Stephen Kondak, D.D.S.

NPI #1134324254 in Greenport, New York

Provider Information

NPI Number
1134324254
Entity Type
Individual
Name
DR. Edward Stephen Kondak, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
135 3RD ST
Address 2
19-20 STERLINGTON COMMONS
ZIP Code
11944-1640
Phone
(631) 477-1177

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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