DR. Kerry P Cogburn, D.D.S. P.A.
NPI #1063441616 in Clyde, North Carolina
Provider Information
- NPI Number
- 1063441616
- Entity Type
- Individual
- Name
- DR. Kerry P Cogburn, D.D.S. P.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S. P.A.
- Enumeration Date
- Jul 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 418 JONES COVE RD
- City
- Clyde
- State
- North Carolina
- ZIP Code
- 28721-9458
- Phone
- (828) 627-9285
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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