BRYON RICHARD KOZAK

KENOSHA, WI
NPI1104946912
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: WI  5281-015)
Additional Taxonomies1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: IL  19-025556)
Enumeration Date2007-03-29
Last Update Date2014-02-24
Business Address
DR. BRYON RICHARD KOZAK DDS, MS
10320 75TH ST SUITE A
KENOSHA, WI 53142-7525
Phone number: 262-697-8766
Mailing Address
DR. BRYON RICHARD KOZAK DDS, MS
10320 75TH ST SUITE A
KENOSHA, WI 53142-7525
Phone number: 262-697-8766