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Organization

MARLBORO PEDIATRIC DENTISTRY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YANA KOZLOVSKY DMD (OWNER)
(732) 414-6900
Entity
Organization

Contact information

Practice address
7 S MAIN ST, SUITE G, MARLBORO, NJ 07746-1578
(732) 414-6900
Mailing address
7 S MAIN ST, SUITE G, MARLBORO, NJ 07746-1578

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02447000
NJ

Other

Enumeration date
11/17/2015
Last updated
11/17/2015
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