Provider Demographics
NPI:1881647436
Name:KARWOWSKI, MARTIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:
Last Name:KARWOWSKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARCIN
Other - Middle Name:
Other - Last Name:KARWOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:6411 N CALDWELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-2713
Mailing Address - Country:US
Mailing Address - Phone:773-631-6101
Mailing Address - Fax:773-631-7808
Practice Address - Street 1:6411 N CALDWELL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-2713
Practice Address - Country:US
Practice Address - Phone:773-631-6101
Practice Address - Fax:773-631-7808
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19-0261351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice