Individual
DR. CRAIG DAVID KOZELUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
849 PACIFIC AVE, HOOD RIVER, OR 97031-1956
(541) 386-6380
Mailing address
849 PACIFIC AVE, HOOD RIVER, OR 97031-1956
(541) 386-6380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11013
OR
1223G0001X
General Practice Dentistry
2901022735
MI
Other
Enumeration date
06/27/2018
Last updated
02/03/2021
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