Individual
DR. ILYA KVARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
62 MERCHANTS ROW STE 104, WILLISTON, VT 05495-4476
(802) 497-6310
Mailing address
338B PLAZA RD N, FAIR LAWN, NJ 07410-3640
(201) 621-5555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0133960
VT
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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