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Individual

DR. MICHAEL D COSGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, PC

Contact information

Practice address
1005 5TH AVE, FORT WORTH, TX 76104-2937
(817) 335-3555
(817) 332-2955
Mailing address
1005 5TH AVE, FORT WORTH, TX 76104-2937
(817) 335-3555
(817) 332-2955

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12556
TX

Other

Enumeration date
08/07/2006
Last updated
07/08/2007
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