Individual
DR. KYLE ESTELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
634 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-1811
(201) 945-1119
Mailing address
351 7TH ST APT 1L, JERSEY CITY, NJ 07302-1838
(631) 252-2114
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02660800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
DR02970
NJ
Other
Enumeration date
06/03/2016
Last updated
12/12/2018
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