Individual
DR. JULIANNA KOPAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
240 GEIGER RD, PHILADELPHIA, PA 19115-1008
(203) 688-4242
Mailing address
240 GEIGER RD, PHILADELPHIA, PA 19115-1008
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS042634
PA
390200000X
Student in an Organized Health Care Education/Training Program
12183
CT
Other
Enumeration date
05/16/2018
Last updated
05/27/2020
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