Individual
ANNA KIRAKOZOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1225 HOLLY HILL DR, DURHAM, NC 27713-6058
(919) 605-1025
Mailing address
1225 HOLLY HILL DR, DURHAM, NC 27713-6058
(919) 605-1025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7999
NC
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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