Individual
DR. JACK KURLANSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
515 RARITAN AVENUE, HIGHLAND PARK, NJ 08904-2901
(732) 572-4244
(732) 572-4274
Mailing address
515 RARITAN AVENUE, HIGHLAND PARK, NJ 08904-2901
(732) 572-4244
(732) 572-4274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1012287
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1919709
—
NJ
Enumeration date
08/08/2007
Last updated
08/08/2007
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