Individual
ALBERT KOSIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 W 86TH AVE, MERRILLVILLE, IN 46410-7089
(219) 685-8665
Mailing address
10628 GRAND BLVD, CROWN POINT, IN 46307-8526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12005701
IN
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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