Most Relevant Information
Provider Data
| NPI Number: | 1003025503 |
| Provider Name: | SVETLANA KONSTANTINOVA D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 22DI02322000 |
Most Important Dates
| Enumeration Date: | 05/21/2007 |
| Last Updated: | 10/21/2014 |
Provider Practice Location
707 ELIZABETH AVE
ELIZABETH
NJ
072012806
Practice Location Phone/Fax
| Phone: | 9083541500 |
| Fax: |
Provider Mailing Location
707 ELIZABETH AVE
ELIZABETH
NJ
072012806
Provider Mailing Phone/Fax
| Phone: | 9083541500 |
| Fax: |