Individual
MS. BERNADETTE KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IPDH
Contact information
Practice address
19 PORTLAND ST, FRYEBURG, ME 04037-1205
(207) 256-7606
Mailing address
PO BOX 523, FRYEBURG, ME 04037-0523
(207) 256-7606
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH3183
ME
Other
Enumeration date
02/26/2010
Last updated
12/30/2016
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