Individual
ANDREW KOTLARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-6933
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-6933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12939519-9921
UT
122300000X
Dentist
Primary
2901602893
MI
122300000X
Dentist
Primary
DEN-DEN-LIC-27530
MT
122300000X
Dentist
DENT.DE.70040063
WA
Other
Enumeration date
07/29/2022
Last updated
06/28/2026
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