Individual
DR. DAVID JOSEPH KOZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
14601 DETROIT AVE, STE 500, LAKEWOOD, OH 44107
(216) 221-8744
(216) 221-8745
Mailing address
14601 DETROIT AVE, STE 500, LAKEWOOD, OH 44107
(216) 221-8744
(216) 221-8745
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30015460
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2362063
—
OH
Enumeration date
07/21/2006
Last updated
07/08/2007
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