Koza Family Dental Care PC

NPI #1154696847 in La Grande, Oregon

Provider Information

NPI Number: 1154696847
Entity Type: Organization
Organization Name: Koza Family Dental Care PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 14, 2012
Last Updated: Mar 14, 2012

Practice Location

Address: 2502 COVE AVE STE D
City: La Grande
State: Oregon
ZIP Code: 97850-0407
Phone: (541) 963-4962

Authorized Official

Name: STEPHEN A KOZA, DMD
Title: OWNER
Phone: (541) 963-4962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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