Organization
KOSSAK CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZENON JOHN KOSSAK DDS (OWNER)
(313) 590-4350
Entity
Organization
Contact information
Practice address
24 FAIR ACRES DR, GROSSE POINTE FARMS, MI 48236-3102
(313) 590-4350
(313) 886-1518
Mailing address
24 FAIR ACRES DR, GROSSE POINTE FARMS, MI 48236-3102
(313) 590-4350
(313) 886-1518
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9356
MI
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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