Kossak-D'Agostini, Lydia

Kossak-D'Agostini, Lydia is an sole proprietor health care provider with primary practice located at 850 Lincoln Rd , Grosse Pointe MI 48230-1287. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kossak-D'Agostini, Lydia can be contacted via phone (313) 642-0125.

Contact Information

Primary practice address
850 Lincoln Rd Grosse Pointe MI 48230-1287
Fax: (586) 268-1599
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17936 Michigan

Profile Details

NPI number 1013006204
LBN Legal business name Kossak-D'Agostini, Lydia
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Aug 13th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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