Individual
DR. ALAN J KOSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
916 BELVIDERE RD, BELVIDERE, IL 61008-9360
(815) 544-3111
(815) 547-4569
Mailing address
916 BELVIDERE RD, P O BOX 637, BELVIDERE, IL 61008-9360
(815) 544-3111
(815) 547-4569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023038
IL
Other
Enumeration date
07/17/2008
Last updated
05/22/2012
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