Individual
DR. MARCIE KANOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3745 HENDERSON DR, JACKSONVILLE, NC 28546-5237
(910) 938-4333
Mailing address
3745 HENDERSON DR, JACKSONVILLE, NC 28546-5237
(910) 938-4333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12148
NC
Other
Enumeration date
06/16/2020
Last updated
10/10/2023
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