Individual
DR. ELIZABETH ANN KOSSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
131 NW 100TH AVE, PLANTATION, FL 33324-7034
(954) 476-4537
Mailing address
200 LESLIE DR, #809, HALLANDALE BEACH, FL 33009-7311
(313) 580-3258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21325
FL
Other
Enumeration date
06/07/2013
Last updated
02/14/2017
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