Organization
MEDINA PEDIATRIC DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KOZIK D.D.S. (OWNER)
(330) 391-1157
Entity
Organization
Contact information
Practice address
3443 MEDINA RD, SUITE 104, MEDINA, OH 44256-5360
(330) 391-1157
Mailing address
3443 MEDINA RD, SUITE 104, MEDINA, OH 44256-5360
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18125
OH
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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