Individual
DR. THEODORE A KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2741 FALLSTON RD, SUITE A, FALLSTON, MD 21047-1300
(410) 692-0738
(410) 692-0739
Mailing address
2741 FALLSTON RD, SUITE A, FALLSTON, MD 21047-1300
(410) 692-0738
(410) 692-0739
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13319
MD
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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