MS. Bernadette Kozak, IPDH

NPI #1720300155 in Fryeburg, Maine

Provider Information

NPI Number: 1720300155
Entity Type: Individual
Name: MS. Bernadette Kozak, IPDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: IPDH
Enumeration Date: Feb 26, 2010
Last Updated: Dec 30, 2016

Practice Location

Address: 19 PORTLAND ST
City: Fryeburg
State: Maine
ZIP Code: 04037-1205
Phone: (207) 256-7606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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