Organization
KOZA FAMILY DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A KOZA DMD (OWNER)
(541) 963-4962
Entity
Organization
Contact information
Practice address
2502 COVE AVE STE D, LA GRANDE, OR 97850-0407
(541) 963-4962
(541) 963-4531
Mailing address
2502 COVE AVE STE D, LA GRANDE, OR 97850-0407
(541) 963-4962
(541) 963-4531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8404
OR
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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