Individual
DR. ZENON PAUL KOSSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
300 E LONG LAKE RD STE 290, BLOOMFIELD HILLS, MI 48304-2378
(248) 203-2330
Mailing address
300 E LONG LAKE RD STE 290, BLOOMFIELD HILLS, MI 48304-2378
(248) 203-2330
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901020635
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN23273
FL
Other
Enumeration date
06/22/2012
Last updated
06/18/2024
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