# LORRAINE KOSZTYU, D.M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114164811
- **Authorized official:** DR. LORRAINE KOSZTYU D.M.D. (PRESIDENT)
- **Authorized official phone:** (609) 896-1050

## Contact information

- **Practice address:** 82 FRANKLIN CORNER RD, LAWRENCEVILLE, NJ 08648-2102
- **Practice address phone:** (609) 896-1050
- **Practice address fax:** (609) 896-1618
- **Mailing address:** 82 FRANKLIN CORNER RD, LAWRENCEVILLE, NJ 08648-2102
- **Mailing address phone:** (609) 896-1050
- **Mailing address fax:** (609) 896-1618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI01965300 | NJ | Yes |

## Other

- **Enumeration date:** 01/16/2009
- **Last updated:** 01/16/2009