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Douglas J Kosek D.d.s., P.c.
Dental Clinic/Center in South Bend, Indiana
NPI 1992294276

Douglas J Kosek D.d.s., P.c. is a Dental Clinic/Center based in South Bend, IN and is specialized in Dental. Douglas J Kosek D.d.s., P.c. practices in South Bend, IN. The NPI Number for Douglas J Kosek D.d.s., P.c. is 1992294276 and holds a License No. (Indiana).

The current practice location address for Douglas J Kosek D.d.s., P.c. is 413 W Jefferson Blvd, South Bend, IN and can be reached out via phone at 574-232-2992.

Location: 413 W Jefferson Blvd, South Bend, IN, 46601-1514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992294276
Provider Name
Douglas J Kosek D.d.s., P.c.
Credential
Provider Entity Type
Organization
Address
413 W Jefferson Blvd, South Bend, IN, 46601-1514
Phone Number
574-232-2992
Fax Number
Provider Enumeration Date
05/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
413 W Jefferson Blvd
City
South Bend
State
Indiana
Zip
46601-1514
Phone Number
574-232-2992
Fax Number
person
Provider Business Mailing Address Details
Address
413 W Jefferson Blvd
City
South Bend
State
Indiana
Zip
46601-1514
Phone Number
574-232-2992
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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