Individual
DR. JEROME WILLIAM KOFSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1253 GENEVA AVE N, OAKDALE, MN 55128-5705
(651) 731-2342
(651) 731-7679
Mailing address
1253 GENEVA AVE N, OAKDALE, MN 55128-5705
(651) 731-2342
(651) 731-7679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9159
MN
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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