Individual
DR. JAMES MICHAEL KOZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(707) 972-6100
Mailing address
1077 SE CRESTLANE DR, COLLEGE PLACE, WA 99324-1379
(509) 525-3216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010974
WA
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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