JACKIE KOSTENKO, DDS

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1063306348

Practice Address

1201 NW 16TH ST
Miami, FL 33125

Phone: (305) 575-7000

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1063306348 is the National Provider Identifier for JACKIE KOSTENKO, DDS, a Student in an Organized Health Care Education/Training Program provider located in Miami, FL. This NPI was enumerated on June 3, 2025.
JACKIE KOSTENKO, DDS practices at 1201 NW 16TH ST, Miami, FL 33125.

Quick Facts

NPI
1063306348
Type
Individual
Enumerated
Jun 3, 2025
Last Updated
Jun 3, 2025

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