Individual
DR. DONALD EUGENE KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
39 BROADWAY, BEVERLY, MA 01915-4417
(978) 927-5247
(978) 922-7364
Mailing address
PO BOX 3182, BEVERLY, MA 01915-0896
(978) 927-5247
(978) 922-7369
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
12978
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246433
—
MA
01
—
979617
UNITED CONCORDIA
—
01
—
X11646
BCBS
MA
Enumeration date
12/13/2005
Last updated
07/08/2007
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