KONSTANTIN BORIS MALTSEN DDS - Dentist License in New York | # 019024747

KONSTANTIN BORIS MALTSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024747

License Status

NOT RENEWED

Business

N

First Name

KONSTANTIN

Middle

BORIS

Last Name

MALTSEN

Suffix

DDS

Business Name

KONSTANTIN BORIS MALTSEN DDS

Original Issue Date

07/13/1998

Effective Date

07/13/1998

Expiration Date

09/30/2002

State

NY

Ever Disciplined

N

LastModifiedDate

10/17/2005