Organization
MARK KOLOZENSKI, DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A KOLOZENSKI DDS (DENTIST/OWNER)
(815) 201-1000
Entity
Organization
Contact information
Practice address
10083 W LINCOLN HWY, FRANKFORT, IL 60423-1272
(815) 201-1000
(815) 201-1111
Mailing address
10083 W LINCOLN HWY, FRANKFORT, IL 60423-1272
(815) 201-1000
(815) 201-1111
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021001669
IL
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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