Individual
DR. CHARLES ROBERT KOSOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10707 W BELOIT RD, GREENFIELD, WI 53228-1225
(414) 258-9630
(414) 258-1955
Mailing address
10707 W BELOIT RD, GREENFIELD, WI 53228-1225
(414) 258-9630
(414) 258-1955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6147-015
WI
Other
Enumeration date
02/20/2007
Last updated
02/19/2008
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