Individual
KEVIN A BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
272 US HIGHWAY 46, ELMWOOD PARK, NJ 07407-2405
(862) 640-1692
Mailing address
271 HIGHLAND AVE, PASSAIC, NJ 07055-8603
(973) 800-7924
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI01278400
NJ
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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