| Michael J Kosovec Dds, Sc | |
|
2010 Eastwood Drive Suite 206 Madison WI 53704-5387 | |
| (608) 241-1579 | |
| (608) 241-2061 |
| Full Name | Michael J Kosovec Dds, Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2010 Eastwood Drive, Madison, Wisconsin |
| Authorized Official Name and Position | Michael John Kosovec (PRESIDENT) |
| Authorized Official Contact | 6082411579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Kosovec Dds, Sc 2010 Eastwood Drive Suite 206 Madison WI 53704-5387 Ph: (608) 241-1579 | Michael J Kosovec Dds, Sc 2010 Eastwood Drive Suite 206 Madison WI 53704-5387 Ph: (608) 241-1579 |
| NPI Number | 1972697563 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972697563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001511 (Wisconsin) | Primary |
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