Dr.kostenko D.m.d. P.c.

NPI #1417127671 in Lynn, Massachusetts

Provider Information

NPI Number: 1417127671
Entity Type: Organization
Organization Name: Dr.kostenko D.m.d. P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 4, 2008
Last Updated: Mar 4, 2008

Practice Location

Address: 74 MARKET ST
City: Lynn
State: Massachusetts
ZIP Code: 01901-1115
Phone: (781) 581-1411

Authorized Official

Name: DR. VALERIY M KOSTENKO, D.M.D.
Title: DENTIST
Phone: (781) 581-1411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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