Individual
DR. JERRY STANLEY KOLOSIONEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
750 E WASHINGTON ST, SUITE A-3, MEDINA, OH 44256-2196
(330) 725-3837
(330) 764-4065
Mailing address
750 E WASHINGTON ST, SUITE A-3, MEDINA, OH 44256-2196
(330) 725-3837
(330) 764-4065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19480
OH
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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