Individual
KAREN KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
800 W BROAD ST STE 207, FALLS CHURCH, VA 22046-3144
(703) 998-4244
Mailing address
2470 MANDEVILLE LN APT 824, ALEXANDRIA, VA 22314-4891
(913) 660-4187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417157
VA
1223G0001X
General Practice Dentistry
17182
MD
1223G0001X
General Practice Dentistry
DEN2000094
DC
Other
Enumeration date
04/13/2021
Last updated
01/19/2023
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