Individual
KATELYN ELIZABETH KOSILESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
27748 CENTER RIDGE RD, WESTLAKE, OH 44145-3919
(440) 835-2121
Mailing address
27748 CENTER RIDGE RD, WESTLAKE, OH 44145-3919
(440) 835-2121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2951000887
MI
122300000X
Dentist
Primary
30.026878
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2022
Last updated
05/29/2023
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