Individual
DR. GABRIEL KOSMALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12200 WESTERN AVE STE 108, BLUE ISLAND, IL 60406-1493
(708) 385-3700
Mailing address
6953 HILLCREST AVE, RUDOLPH, WI 54475-9516
(715) 347-0612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019035613
IL
1223G0001X
General Practice Dentistry
600170215
WI
Other
Enumeration date
05/15/2024
Last updated
11/20/2024
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