# KINGA KOSTOLOWSKA, D.M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northeast Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386868453
- **Authorized official:** DR. KINGA KOSTOLOWSKA D.M.D. (PRESIDENT)
- **Authorized official phone:** (215) 634-9151

## Contact information

- **Practice address:** 2409 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4402
- **Practice address phone:** (215) 634-9151
- **Practice address fax:** (215) 634-7723
- **Mailing address:** 2409 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4402
- **Mailing address phone:** (215) 634-9151
- **Mailing address fax:** (215) 634-7723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS028239L | PA | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020