Individual
RICHARD KOZLOWSKI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1229 MAIN ST, ST JOHNSBURY, VT 05819-2697
(802) 748-3906
(802) 748-5456
Mailing address
1229 MAIN ST, ST JOHNSBURY, VT 05819-2697
(802) 748-3906
(802) 748-5456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0001017
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002004
—
VT
05
—
30008241
—
NH
Enumeration date
07/24/2006
Last updated
07/09/2007
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