Kanakos, Marina Kristin
Kanakos, Marina Kristin is an individual health care provider with primary practice located at 4 Burton Ln Ste 400 , Mullica Hill NJ 08062-9441. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Kanakos, Marina Kristin can be contacted via phone (856) 842-5400.Contact Information
Primary practice address
4 Burton Ln Ste 400
Mullica Hill NJ 08062-9441
Phone: (856) 842-5400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 13099 | |
Dental Providers / Pediatric Dentistry | 1223P0221X | 22DI02961600 | New Jersey |
Profile Details
NPI number | 1962088278 |
---|---|
LBN Legal business name | Kanakos, Marina Kristin |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 18th, 2021 |
Last updated | Jul 5th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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