Individual
DR. DONALD E KONDRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
86 MARKET ST, CLIFTON, NJ 07012-2404
(973) 777-8117
Mailing address
277 LAKE WALLKILL RD, SUSSEX, NJ 07461-4609
(973) 875-1036
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI00977201
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084902
—
NJ
Enumeration date
11/17/2006
Last updated
07/09/2007
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