Individual
DR. NATALYA KONDRATYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
433 MARKET ST STE 102, CAMDEN, NJ 08102
(856) 963-0315
Mailing address
352 SECOND STREET PIKE #396, SOUTHAMPTON, PA 18966-2425
(215) 745-5734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029186L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001749
HEALTH PARTNERS
PA
01
—
0014964000001
MEDICAL ASSISTANCE
PA
05
—
0617415
—
NJ
Enumeration date
10/20/2005
Last updated
01/19/2021
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