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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDAL MARK KOWALSKE, DMD

Active

RANDAL MARK KOWALSKE, DMD is a Dentist healthcare provider located in PEORIA, Illinois. NPI 1669564290 is currently active in the NPPES registry. Verify at CMS.

Dentist · PEORIA, IL

Registration Details

NPI Number
1669564290
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2006 (19.832699618505 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
3100 N DRIES LN
SUITE 301
PEORIA, IL, 616041265
Browse IL providers · Browse ZIP 61604
Phone
3096886646
Fax
3096886645
Primary Specialty
Dentist
122300000X

Other Dentist Providers in PEORIA, IL

Name Credential NPI
DR. WILLIAM FRED FORSYTH D.D.S. 1871517771
DR. BRUCE ALAN HILLEMEYER D.D.S. 1073537411
DR. RICHARD HUGH MCKONE DDS 1326108846
DAVID WEXLER DDS 1124185160
WALLACE STROW DDS 1164589115
DR. MONZER K AL-DADAH DDS 1306985999
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.