Organization
JOHN J KOZICKI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KOZICKI (PRESIDENT)
(248) 689-9191
Entity
Organization
Contact information
Practice address
4770 ROCHESTER RD, TROY, MI 48085-4951
(248) 689-9191
Mailing address
4770 ROCHESTER RD, TROY, MI 48085-4951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015334
MI
Other
Enumeration date
08/03/2006
Last updated
12/17/2012
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