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Marina Kristin Kanakos
Pediatric Dentist in Mullica Hill, New Jersey
NPI 1962088278

Marina Kristin Kanakos is a Pediatric Dentist based in Mullica Hill, NJ and is specialized in Pediatric Dentistry. Marina Kristin Kanakos practices in Mullica Hill, NJ. The NPI Number for Marina Kristin Kanakos is 1962088278 and holds a License No. (New Jersey).

The current practice location address for Marina Kristin Kanakos is 4 Burton Ln Ste 400, Mullica Hill, NJ and can be reached out via phone at 856-842-5400.

Location: 4 Burton Ln Ste 400, Mullica Hill, NJ, 08062-9441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962088278
Provider Name
Marina Kristin Kanakos
Credential
Provider Entity Type
Individual
Gender
Female
Address
4 Burton Ln Ste 400, Mullica Hill, NJ, 08062-9441
Phone Number
856-842-5400
Fax Number
Provider Enumeration Date
03/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4 Burton Ln Ste 400
City
Mullica Hill
State
New Jersey
Zip
08062-9441
Phone Number
856-842-5400
Fax Number
person
Provider Business Mailing Address Details
Address
4 Burton Ln Ste 400
City
Mullica Hill
State
New Jersey
Zip
08062-9441
Phone Number
856-842-5400
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
13099 ()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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