| NPI | 1346299690 |
|---|---|
| Professional Name | EDWARD ANTHONY KODITEK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00007696) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 7696) |
| 1223G0001X Dentist, General Practice (Licence: CA 24563) | |
| 1223G0001X Dentist, General Practice (Licence: CO DEN-7696) | |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2015-05-15 |