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Dr. Joan Elizabeth Kowolik, BDS., LDS RCS.,

Dentist, Pediatric Dentistry in Indianapolis, IN. Individual provider (NPI-1).

NPI number1396879110
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1396879110
Entity type
Individual (NPI-1)
Name
Dr. Joan Elizabeth Kowolik
Credential
BDS., LDS RCS.,
Sex
Female
Sole proprietor
No
Enumeration date
Mar 15, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry98000343AINYes

Practice location

1121 W Michigan St
Indiana University School Of Dentistry, Ds 220g
Indianapolis, IN 46202-5211

Phone 317-274-2794 · Fax 317-278-1438

Mailing address

1121 W Michigan St
Indiana University School Of Dentistry, Ds 220g
Indianapolis, IN 46202-5211

Phone 317-274-2794 · Fax 317-278-1438

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