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Douglas Kosek, D.D.S
NPI 1780704247 · on the registry since 2007 · sole proprietor
Practice
- Address
- 413 W Jefferson Blvd
South Bend, IN 46601 - Phone
- (574) 232-2992
- Fax
- (574) 232-2739
- Organisation at this address
- Douglas J Kosek Dds Pc
Douglas J Kosek D.D.S., P.C.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana