Individual
KRISTINA MACKENZIE CERAVOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 WASHINGTON AVE, IRVINGTON, NJ 07111-3550
(973) 926-5306
Mailing address
722-724 ADAMS ST APT 9, HOBOKEN, NJ 07030-2878
(315) 256-8181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
063885
NY
122300000X
Dentist
Primary
22DI02954300
NJ
Other
Enumeration date
04/05/2022
Last updated
05/11/2026
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