Individual
DR. JOHN S. KOWALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21 HOPPER ST, UTICA, NY 13501-3507
(315) 735-6502
(315) 797-1883
Mailing address
21 HOPPER ST, UTICA, NY 13501-3507
(315) 735-6502
(315) 797-1883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23625
NY
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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