Individual
JOHN R KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
196 PARKWAY SOUTH, SUITE 305, WATERFORD, CT 06385
(860) 443-1827
(860) 437-2255
Mailing address
134 BEAVER BROOK RD, LYME, CT 06371
(860) 434-1030
(860) 434-1066
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4694
CT
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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