Organization
JEFFREY KOZLOWSKI DDS LELAND PLLC
Active
Other names
Campbell Covington and Icenhour
Organization subpart
No
Provider details
NPI number
Authorized official
STACY POPE (PROJECT MANAGER)
(616) 283-8867
Entity
Organization
Contact information
Practice address
1165 E. CUTLAR CROSSING, SUITE 120, LELAND, NC 28451
(910) 251-1100
Mailing address
5300 PATTERSON AVE SE STE 110, GRAND RAPIDS, MI 49512-9758
(616) 283-8867
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
04/01/2025
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