Organization
MICHAEL KOWALIK DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH KOWALIK DDS (PRESIDENT)
(708) 599-3333
Entity
Organization
Contact information
Practice address
6320 W 79TH ST, BURBANK, IL 60459-1161
(708) 599-3333
(708) 599-1017
Mailing address
6320 W 79TH ST, BURBANK, IL 60459-1161
(708) 599-3333
(708) 599-1017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A14602
IL
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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