# MARLBORO PEDIATRIC DENTISTRY, PC

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

## Provider details

- **NPI number:** 1982078762
- **Authorized official:** DR. YANA KOZLOVSKY DMD (OWNER)
- **Authorized official phone:** (732) 414-6900

## Contact information

- **Practice address:** 7 S MAIN ST, SUITE G, MARLBORO, NJ 07746-1578
- **Practice address phone:** (732) 414-6900
- **Mailing address:** 7 S MAIN ST, SUITE G, MARLBORO, NJ 07746-1578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02447000 | NJ | Yes |

## Other

- **Enumeration date:** 11/17/2015
- **Last updated:** 11/17/2015