Individual
DR. VALERIY KOSTENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. M. D.
Contact information
Practice address
74 MARKET ST, LYNN, MA 01901-1115
(781) 581-1411
(781) 581-1433
Mailing address
74 MARKET ST, LYNN, MA 01901-1115
(781) 581-1411
(781) 581-1433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19585
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0281956
—
MA
Enumeration date
02/15/2007
Last updated
07/09/2007
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