Individual
DR. BRIAN R KWIATKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
322 GREENBROOK RD, GREEN BROOK, NJ 08812-2207
(732) 356-7171
Mailing address
322 GREENBROOK RD, GREEN BROOK, NJ 08812-2207
(732) 356-7171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21979
NJ
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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