Individual
DR. ROBERT JOSEPH KOWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
387 NE 223RD AVE, GRESHAM, OR 97030-8554
(503) 491-5450
Mailing address
387 NE 223RD AVE, GRESHAM, OR 97030-8554
(503) 491-5450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9936
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9999
IN TRANSIT
OR
Enumeration date
12/13/2011
Last updated
01/24/2014
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