| NPI | 1538541727 |
|---|---|
| Doing Business As | BERNADETTE KOZAK |
| Entity Type | Organization |
| Authorized Contact | BERNADETTE KOZAK Owner/Operator 207-256-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME IPH18) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |