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Individual

DR. STANLEY FRANCIS KOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
199 N LEAVITT RD, SUITE 102, AMHERST, OH 44001-1174
(440) 988-2615
(440) 988-5949
Mailing address
199 N LEAVITT RD, SUITE 102, AMHERST, OH 44001-1174
(440) 988-2615
(440) 988-5949

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30013111
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0666079
OH
Enumeration date
04/23/2007
Last updated
07/08/2007
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