Individual provider · Type 1 NPI
Marina Kristin Kanakos
Pediatric Dentistry · Mullica Hill, NJ
NPI number
1962088278
Active
Practice location
4 Burton Ln Ste 400
Mullica Hill, NJ 08062-9441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | 13099 |
| Pediatric Dentistry Primary | 1223P0221X | 22DI02961600 (NJ) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Mullica Hill
About NPI 1962088278
Marina Kristin Kanakos's National Provider Identifier is 1962088278, issued on Mar 18, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mullica Hill, NJ. The record was last updated on Jul 5, 2023.