Yelena Y Kozlovitser DDS

NPI 1013010651 - Dentist - 122300000X

NPI Details
NPI 1013010651
Gender Female
Enumeration Date 09/07/2006
Last Updated 07/22/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1113 S MILWAUKEE AVE
SUITE #103
LIBERTYVILLE IL, 60048-3758, US
Phone (847) 362-7710
Fax (847) 362-7780
Business Location
1113 S MILWAUKEE AVE
SUITE #103
LIBERTYVILLE IL, 60048-3758, US
Phone (847) 362-7710
Fax (847) 362-7780
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 01926280
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According to our database, Dr. Yelena Y Kozlovitser DDS NPI is 1013010651, taxonomy code is 122300000X and license number is 01926280, license state is located at Illinois. Yelena Y Kozlovitser DDS physically located at 1113 S Milwaukee Ave, Libertyville IL, 60048-3758. NPI Number Yelena Y Kozlovitser DDS has the Individual type.

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1013010651 NPI number is provided on an as is basis without warranty of any kind. 1013010651 is maintained by the National Plan & Provider Enumeration System. The contents of Yelena Y Kozlovitser DDS are for informational purposes only.