DOUGLAS JOHN KOSEK

SOUTH BEND, IN
NPI1780704247
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12009873)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
-- DOUGLAS JOHN KOSEK D.D.S.
413 W JEFFERSON BLVD
SOUTH BEND, IN 46601-1514
Phone number: 574-232-2992
Mailing Address
-- DOUGLAS JOHN KOSEK D.D.S.
533 N COQUILLARD DR
SOUTH BEND, IN 46617-2554
Phone number: 574-288-3308
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