Individual
DR. KENNETH G KOKTISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
211 BROADWAY, BAYONNE, NJ 07002
(201) 437-0107
Mailing address
211 BROADWAY, BAYONNE, NJ 07002
(201) 437-0107
(201) 437-7721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11265
NJ
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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