Valeriy Kostenko, D. M. D. Valid NPI
Individual provider · General Practice Dentistry · Lynn, MA
- NPI
- 1104969583
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 19585 (MA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-15
- Last updated
- 2007-07-09
Practice location
74 Market St
Lynn, MA 01901-1115
(781) 581-1411