Individual
HOWARD KOTKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
33 MAIN ST STE 203, CHATHAM, NJ 07928-2433
(973) 635-6444
(973) 635-6475
Mailing address
33 MAIN ST STE 203, CHATHAM, NJ 07928-2433
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DI018633
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223P0221X
PEDIATRIC DENTIST
NJ
Enumeration date
03/19/2007
Last updated
07/08/2007
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