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1306297288
BASIA M KOWALIK
RACINE, WI
NPI
1306297288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 3505)
Enumeration Date
2016-06-22
Last Update Date
2016-06-22
Business Address
Dr. BASIA M KOWALIK DDS
1076 BEDFORD CT
RACINE, WI 53406-7010
Phone number: 414-861-1237
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Mailing Address
Dr. BASIA M KOWALIK DDS
1076 BEDFORD CT
RACINE, WI 53406-7010
Phone number: 414-861-1237
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