Organization
KOZLOWSKI ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY TODD KOZLOWSKI DDS (PRESIDENT)
(860) 442-4421
Entity
Organization
Contact information
Practice address
190 HEMPSTEAD STREET, NEW LONDON, CT 06320
(860) 442-4421
(866) 837-6409
Mailing address
190 HEMPSTEAD STREET, NEW LONDON, CT 06320
(860) 442-4421
(866) 837-6409
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8376
CT
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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