Organization
DONALD E. KOWALSKI, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD E. KOWALSKI D.D.S. (OWNER)
(978) 927-5247
Entity
Organization
Contact information
Practice address
39 BROADWAY, BEVERLY, MA 01915-4417
(978) 927-5247
(978) 922-7369
Mailing address
39 BROADWAY, PO BOX 3182, BEVERLY, MA 01923
(978) 927-5247
(978) 922-7369
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12978
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246433
—
MA
01
—
X11646
BCBS
MA
Enumeration date
05/08/2007
Last updated
08/22/2020
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