Zenon John Kossak DDS

NPI 1073565164 - Dentist - 1223S0112X

NPI Details
NPI 1073565164
Gender Male
Enumeration Date 05/17/2006
Last Updated 10/18/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
24 FAIR ACRES DR
GROSSE POINTE FARMS MI, 48236-3102, US
Phone (313) 590-4350
Fax
Business Location
24 FAIR ACRES DR
GROSSE POINTE FARMS MI, 48236-3102, US
Phone (313) 590-4350
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Michigan
License Number 2901009356
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According to our database, Dr. Zenon John Kossak DDS NPI is 1073565164, taxonomy code is 1223S0112X and license number is 2901009356, license state is located at Michigan. Zenon John Kossak DDS physically located at 24 Fair Acres Dr, Grosse Pointe Farms MI, 48236-3102. NPI Number Zenon John Kossak DDS has the Individual type.

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1073565164 NPI number is provided on an as is basis without warranty of any kind. 1073565164 is maintained by the National Plan & Provider Enumeration System. The contents of Zenon John Kossak DDS are for informational purposes only.