| NPI | 1437641214 |
|---|---|
| Doing Business As | GARY J KOHL DDS |
| Entity Type | Organization |
| Authorized Contact | OLGA GRENOVA Dir Of Accounting 608-833-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |