Kozak, Bryon Richard

Kozak, Bryon Richard is an sole proprietor health care provider with primary practice located at 10320 75Th St Suite A, Kenosha WI 53142-7525. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kozak, Bryon Richard can be contacted via phone (262) 697-8766.

Contact Information

Primary practice address
10320 75Th St Suite A Kenosha WI 53142-7525
Phone: (262) 697-8766
Fax: (262) 697-5523
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 5281-015 Wisconsin
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 19-025556 Illinois

Profile Details

NPI number 1104946912
LBN Legal business name Kozak, Bryon Richard
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Feb 24th, 2014 - about 10 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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