DR. John R Kukucka JR., D.M.D.
NPI #1619030822 in Manasquan, New Jersey
Provider Information
- NPI Number
- 1619030822
- Entity Type
- Individual
- Name
- DR. John R Kukucka JR., D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Periodontics
- Credential
- D.M.D.
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2605 HIGHWAY 35
- City
- Manasquan
- State
- New Jersey
- ZIP Code
- 08736-2603
- Phone
- (732) 223-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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