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Individual
DR. KAILAND COSGROVE
Active
Individual
DR. KAILAND COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN24256
FL
390200000X
Student in an Organized Health Care Education/Training Program
24256
FL
Other
Enumeration date
07/03/2019
Last updated
07/02/2022
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