Individual
DR. GEORGE GEORGI KOURAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16 W VINE ST, MILLVILLE, NJ 08332-3823
(856) 825-0618
(856) 825-3420
Mailing address
404 HIGHLAND DR, MAYS LANDING, NJ 08330-1649
(609) 625-4651
(609) 625-1298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13065
NJ
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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