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Individual

DR. ROBB DAVID KOZLOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
12904 CENTRAL AVE NE, BLAINE, MN 55434-4147
(763) 755-1330
(763) 755-4305
Mailing address
2331 132ND LN NE, BLAINE, MN 55449-5378
(763) 413-2533

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10959
MN

Other

Enumeration date
12/18/2006
Last updated
07/08/2007
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