Individual
DR. MARK A KOLOZENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
14654 HOLLOW TREE RD, ORLAND PARK, IL 60462-7402
(708) 220-6640
Mailing address
14654 HOLLOW TREE RD, ORLAND PARK, IL 60462-7402
(708) 220-6640
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021001669
IL
Other
Enumeration date
04/19/2007
Last updated
05/20/2014
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