Individual
LENA KHAYLOMSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4100 PARK AVE, WEEHAWKEN, NJ 07086-6196
(201) 348-1616
(201) 348-4877
Mailing address
4100 PARK AVE, WEEHAWKEN, NJ 07086-6196
(201) 348-1616
(201) 348-4877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22424
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038792
—
NJ
Enumeration date
09/30/2008
Last updated
02/02/2015
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