Individual
DR. KRISTOPHER K KOSTENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14201 NE 20TH AVE STE A101, VANCOUVER, WA 98686
(360) 882-0222
Mailing address
9511 NE HAZEL DELL AVE # B16, VANCOUVER, WA 98665-8157
(509) 528-4291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10835
OR
Other
Enumeration date
07/08/2018
Last updated
08/08/2018
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