Organization
KOSEL DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC B KOSEL DMD (DENTIST PARTNER)
(708) 532-0091
Entity
Organization
Contact information
Practice address
17859 OAK PARK AVENUE, TINLEY PARK, IL 60477
(708) 532-0091
(708) 532-2917
Mailing address
17859 OAK PARK AVENUE, TINLEY PARK, IL 60477
(708) 532-0091
(708) 532-2917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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