Individual
DR. ERIC BERNARD KOSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
380 SUPPIGER WAY #3, HIGHLAND, IL 62249
(618) 654-4551
(708) 532-2917
Mailing address
380 SUPPIGER WAY #3, HIGHLAND, IL 62249
(618) 654-4551
(708) 532-2917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.025881
IL
122300000X
Dentist
2018009394
MO
1223G0001X
General Practice Dentistry
019-025881
IL
Other
Enumeration date
02/24/2009
Last updated
05/22/2019
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