Individual
MS. SARAH KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
406 W BOUGHTON RD, SUITE B, BOLINGBROOK, IL 60440-1340
(630) 759-8940
(630) 759-9392
Mailing address
30430 KAVANAUGH RD, WILMINGTON, IL 60481
(815) 476-7277
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
LA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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