# KOWALSKI FAMILY DENTAL, P.C.

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

## Provider details

- **NPI number:** 1699044305
- **Authorized official:** DR. HALINA B KOWALSKI DMD (PRESIDENT)
- **Authorized official phone:** (973) 575-6100

## Contact information

- **Practice address:** 170 CHANGEBRIDGE RD, SUITE A2, MONTVILLE, NJ 07045-9115
- **Practice address phone:** (973) 575-6100
- **Practice address fax:** (973) 575-7772
- **Mailing address:** 170 CHANGEBRIDGE RD, SUITE A2, MONTVILLE, NJ 07045-9115
- **Mailing address phone:** (973) 575-6100
- **Mailing address fax:** (973) 575-7772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DL15645 | NJ | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/26/2011
- **Last updated:** 01/17/2012