Individual
DR. LYDIA KOSSAK-D'AGOSTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
850 LINCOLN RD, GROSSE POINTE, MI 48230-1287
(313) 642-0125
(586) 268-1599
Mailing address
850 LINCOLN RD, GROSSE POINTE, MI 48230-1287
(313) 642-0125
(586) 268-1599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17936
MI
Other
Enumeration date
10/12/2006
Last updated
08/13/2007
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