Individual
DR. EMMA J KOUKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
411 MASSACHUSETTS AVE, SUITE 203, ACTON, MA 01720-3739
(978) 263-1154
(978) 263-1155
Mailing address
411 MASSACHUSETTS AVE, SUITE 203, ACTON, MA 01720-3739
(978) 263-1154
(978) 263-1155
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13959
MA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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