Individual
DR. ZENON JOHN KOSSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24 FAIR ACRES DR, GROSSE POINTE FARMS, MI 48236-3102
(313) 590-4350
Mailing address
24 FAIR ACRES DR, GROSSE POINTE FARMS, MI 48236-3102
(313) 590-4350
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901009356
MI
Other
Enumeration date
05/17/2006
Last updated
10/18/2010
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