DR. Gary J Kohl, DDS

NPI #1578670279 in Wausau, Wisconsin

Provider Information

NPI Number
1578670279
Entity Type
Individual
Name
DR. Gary J Kohl, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1 CORPORATE DR
Address 2
SUITE 104
City
Wausau
ZIP Code
54401-1722
Phone
(715) 845-9297

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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