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Individual

DR. MATTHEW ADAM KOWALESKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4491 FAR HILLS AVE, KETTERING, OH 45429-2405
(937) 298-1353
(937) 298-8344
Mailing address
4491 FAR HILLS AVE, KETTERING, OH 45429-2405
(937) 298-1353
(937) 298-8344

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023989
OH

Other

Enumeration date
06/11/2013
Last updated
06/11/2013
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