Individual
DAVID WILLIAM KOZELUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8796 BRUNSWICK RD, MINOCQUA, WI 54548-9346
(715) 356-2060
(715) 358-6420
Mailing address
8796 BRUNSWICK RD, MINOCQUA, WI 54548-9346
(715) 356-2060
(715) 358-6420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2864
WI
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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