Individual
DR. JOHN J KOZICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4770 ROCHESTER RD, TROY, MI 48085-4951
(248) 689-9191
(248) 689-5636
Mailing address
4770 ROCHESTER RD, TROY, MI 48085-4951
(248) 689-9191
(248) 689-5636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015334
MI
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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