Individual
DR. STEPHEN KOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2502 COVE AVE, SUITE D, LAGRANDE, OR 97850
(541) 963-4962
Mailing address
63970A MCDONALD LN, LA GRANDE, OR 97850-5157
(541) 963-3202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8404
OR
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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