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Individual
REECE COCHRAN
Active
Individual
REECE COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00203676
CO
1223P0300X
Periodontics
Primary
203676
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000203184
—
CO
Enumeration date
07/06/2018
Last updated
11/07/2022
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