Individual
DR. BASIA M KOWALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1076 BEDFORD CT, RACINE, WI 53406-7010
(414) 861-1237
Mailing address
1076 BEDFORD CT, RACINE, WI 53406-7010
(414) 861-1237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3505
WI
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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