Individual
DR. GEORGIA KOUGENTAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2420 NATIONAL DR, BROOKLYN, NY 11234-6836
(917) 981-5103
Mailing address
2420 NATIONAL DR, BROOKLYN, NY 11234-6836
(917) 981-5103
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
053641
NY
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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