Individual
DR. RICHARD CONSTANTINE KARDOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
248 MIDDLE COUNTRY ROAD, CORAM, NY 11727
(631) 732-2566
(631) 732-2567
Mailing address
23 VIEW RD, SETAUKET, NY 11733-3044
(631) 751-5045
(631) 751-1871
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
26468
NY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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