Individual
DR. THOMAS D. KOZICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
9 EAST MAIN, CENTERBURG, OH 43011-0881
(740) 625-6643
(740) 625-9777
Mailing address
9 EAST MAIN, CENTERBURG, OH 43011-0881
(740) 625-6643
(740) 625-9777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17487
OH
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
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