DR. Jerry Stanley Kolosionek, DDS

NPI #1396842209 in Medina, Ohio

Provider Information

NPI Number: 1396842209
Entity Type: Individual
Name: DR. Jerry Stanley Kolosionek, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 750 E WASHINGTON ST
Address 2: SUITE A-3
City: Medina
State: Ohio
ZIP Code: 44256-2196
Phone: (330) 725-3837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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