Grant Kosharek
Grant Kosharek is a Dentist in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
440 Science Dr Ste 100Madison, WI 53711-1064
Phone: (608) 308-2950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 6001574-15 (WI) |
|---|
Record details
| NPI number | 1679331151 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 11, 2024 |
| Last updated in NPPES | September 17, 2024 |
| Certification date | September 17, 2024 |
| Mailing address | 5329 N Henke Rd, Milton, WI 53563-8680 |
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