Organization
CORNWALL FAMILY DENTISTRY, LLC
Active
Other names
Dr. Richard L. Koslowski, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KOSLOWSKI DMD (OWNER)
(717) 272-3079
Entity
Organization
Contact information
Practice address
850 NORMAN DR, LEBANON, PA 17042-7444
(717) 272-3079
(717) 228-1404
Mailing address
850 NORMAN DR, LEBANON, PA 17042-7444
(717) 272-3079
(717) 228-1404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-027778-L
PA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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