Individual
DR. DIANA KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
526 E STATE ROAD 32, WESTFIELD, IN 46074-8767
(317) 896-9600
(317) 896-9696
Mailing address
526 E STATE ROAD 32, WESTFIELD, IN 46074-8767
(317) 896-9600
(317) 896-9696
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010837A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201207430
—
IN
Enumeration date
03/17/2008
Last updated
06/18/2015
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