MEDICARE: DR. DOUGLAS D. KARWOSKI D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4278	NV

General Provider Information

NPI Number	:	1992723357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS D. KARWOSKI D.D.S.

Provider Business Mailing Address
First Line	:	901 MEDICAL CENTER DR.
Second Line	:	SUITE 200
City	:	DAYTON
State	:	NV
Zip	:	89403
Country	:	US
Telephone Number	:	775-246-7122
Fax Number	:	775-246-7123

Provider Business Practice Location Address
First Line	:	901 MEDICAL CENTER DR.
Second Line	:	SUITE 200
City	:	DAYTON
State	:	NV
Zip	:	89403
Country	:	US
Telephone Number	:	775-246-7122
Fax Number	:	775-246-7123

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/08/2007

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