Organization
MICHAEL J KOSOVEC DDS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN KOSOVEC D.D.S. (PRESIDENT)
(608) 241-1579
Entity
Organization
Contact information
Practice address
2010 EASTWOOD DRIVE, SUITE 206, MADISON, WI 53704-5387
(608) 241-1579
(608) 241-2061
Mailing address
2010 EASTWOOD DRIVE, SUITE 206, MADISON, WI 53704-5387
(608) 241-1579
(608) 241-2061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001511
WI
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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