Individual
JAMES L KOZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4737
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30018125
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0639303
—
OH
Enumeration date
08/04/2006
Last updated
12/27/2021
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