# KOSSAK CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679856637
- **Authorized official:** DR. ZENON JOHN KOSSAK DDS (OWNER)
- **Authorized official phone:** (313) 590-4350

## Contact information

- **Practice address:** 24 FAIR ACRES DR, GROSSE POINTE FARMS, MI 48236-3102
- **Practice address phone:** (313) 590-4350
- **Practice address fax:** (313) 886-1518
- **Mailing address:** 24 FAIR ACRES DR, GROSSE POINTE FARMS, MI 48236-3102
- **Mailing address phone:** (313) 590-4350
- **Mailing address fax:** (313) 886-1518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9356 | MI | Yes |

## Other

- **Enumeration date:** 09/26/2011
- **Last updated:** 09/26/2011