Organization
B & K FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SVETLANA B. KONSTANTINOVA D.D.S. (CO-OWNER)
(908) 354-1500
Entity
Organization
Contact information
Practice address
707 ELIZABETH AVE, ELIZABETH, NJ 07201-2806
(908) 354-1500
(908) 354-1502
Mailing address
707 ELIZABETH AVE, ELIZABETH, NJ 07201-2806
(908) 354-1500
(908) 354-1502
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02322000
NJ
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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