Organization
MARK J KOLOSIONEK DDS & CARA L FAWCETT DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOSEPH KOLOSIONEK DDS (PRESIDENT)
(330) 650-4558
Entity
Organization
Contact information
Practice address
45 MILFORD ROAD, SUITE 17, HUDSON, OH 44236
(330) 650-4558
(330) 650-6466
Mailing address
45 MILFORD ROAD, SUITE 17, HUDSON, OH 44236
(330) 650-4558
(330) 650-6466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18058
OH
122300000X
Dentist
18142
OH
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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