Individual
DR. JOAN ELIZABETH KOWOLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS., LDS RCS.,
Contact information
Practice address
1121 W MICHIGAN ST, INDIANA UNIVERSITY SCHOOL OF DENTISTRY, DS 220G, INDIANAPOLIS, IN 46202-5211
(317) 274-2794
(317) 278-1438
Mailing address
1121 W MICHIGAN ST, INDIANA UNIVERSITY SCHOOL OF DENTISTRY, DS 220G, INDIANAPOLIS, IN 46202-5211
(317) 274-2794
(317) 278-1438
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
98000343A
IN
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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