Organization
HAVEN DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KOSSAK DDS (DENTIST/PRACTICE OWNER)
(313) 580-3258
Entity
Organization
Contact information
Practice address
19535 MACK AVE, GROSSE POINTE WOODS, MI 48236-2836
(313) 580-3258
Mailing address
295 CLOVERLY RD, GROSSE POINTE FARMS, MI 48236-3303
(313) 580-3258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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