Organization
KENNETH J JOZWIAK DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH J JOZWIAK DDS (PRESIDENT OWNER)
(414) 352-5030
Entity
Organization
Contact information
Practice address
6944 N PORT WASHINGTON RD, MILWAUKEE, WI 53217
(414) 352-5030
Mailing address
6944 N PORT WASHINGTON RD, MILWAUKEE, WI 53217
(414) 352-5030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001029015
WI
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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