Kristina Mackenzie Ceravolo

NPI #1154062883 in Irvington, New Jersey

Provider Information

NPI Number: 1154062883
Entity Type: Individual
Name: Kristina Mackenzie Ceravolo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Apr 5, 2022
Last Updated: Aug 14, 2023

Practice Location

Address: 2 WASHINGTON AVE
City: Irvington
State: New Jersey
ZIP Code: 07111-3550
Phone: (973) 926-5306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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