Individual
DR. JAMES FREDERIC COGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
490 POST ST, SUITE 1038, SAN FRANCISCO, CA 94102-1401
(415) 392-7752
(415) 392-7750
Mailing address
2350 MAR EAST ST, TIBURON, CA 94920-1925
(415) 435-2734
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19272
CA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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