DANIEL R. KOZICKI

CHICAGO, IL
NPI1083867600
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019 016502)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
Dr. DANIEL R. KOZICKI D.D.S.
4114 W 63RD ST
CHICAGO, IL 60629-5008
Phone number: 773-581-0811
Mailing Address
Dr. DANIEL R. KOZICKI D.D.S.
4114 W 63RD ST
CHICAGO, IL 60629-5008
Phone number: 773-581-0811