DR. Lydia Kossak-D'agostini, DDS
NPI #1013006204 in Grosse Pointe, Michigan
Provider Information
- NPI Number
- 1013006204
- Entity Type
- Individual
- Name
- DR. Lydia Kossak-D'agostini, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Aug 13, 2007
Practice Location
- Address
- 850 LINCOLN RD
- City
- Grosse Pointe
- State
- Michigan
- ZIP Code
- 48230-1287
- Phone
- (313) 642-0125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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