Individual
DUNJA COSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6417 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4421
(815) 282-5233
Mailing address
3801 DUNBURY LN, ROCKFORD, IL 61101-9505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032149
IL
1223G0001X
General Practice Dentistry
019032149
IL
Other
Enumeration date
06/05/2019
Last updated
10/14/2021
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