Individual
GREGORY G KOZLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1505 KLA-OOK-WA DR, TAHOLAH, WA 98587
(360) 276-4405
(360) 276-4474
Mailing address
1143 OCEAN SHORES BLVD SW, OCEAN SHORES, WA 98569-9783
(360) 276-4405
(360) 276-4474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2570
ME
Other
Enumeration date
05/22/2007
Last updated
03/07/2023
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