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General NPI Number Information
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NPI Number | 1336068154
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Entity Type | Organization
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Legal Business Name | KIDS DENTAL OF UNION CITY PC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 4003 BERGENLINE AVE
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City | UNION CITY
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State | NJ
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Zip | 07087-5277
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Country | US
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Telephone | 347-512-4887
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Fax |
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Provider Business Mailing Address
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Address Line | 4003 BERGENLINE AVE
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City | UNION CITY
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State | NJ
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Zip | 07087-5277
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DMITRIY VOLOTSENKO
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Credential | DDS
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Telephone | 917-797-8052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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