Individual provider · Type 1 NPI

Joan Elizabeth Kowolik, BDS., LDS RCS.

Pediatric Dentistry · Indianapolis, IN

NPI number 1396879110 Active

Practice location

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

Fax (317) 278-1438

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X98000343A (IN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1396879110

Joan Elizabeth Kowolik, BDS., LDS RCS.'s National Provider Identifier is 1396879110, issued on Mar 15, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.