Organization
JOHN W. KOTARSKI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W KOTARSKI DDS (PRESIDENT)
(413) 733-6611
Entity
Organization
Contact information
Practice address
125 LIBERTY ST, SPRINGFIELD, MA 01103-1114
(413) 733-6611
Mailing address
125 LIBERTY ST, SPRINGFIELD, MA 01103-1114
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9094
MA
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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