Individual
RICHARD THOMAS KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
199 NORTH WOODBURY ROAD, PITMAN, NJ 08071
(856) 589-0665
(856) 256-9370
Mailing address
199 NORTH WOODBURY ROAD, PITMAN, NJ 08071
(856) 589-0665
(856) 256-9370
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI01507600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079905
—
NJ
Enumeration date
06/04/2007
Last updated
07/08/2007
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