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Individual

DR. GETTYS COHEN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14 NOBLE ST, SMITHFIELD, NC 27577-9300
(919) 934-5778
Mailing address
14 NOBLE ST, SMITHFIELD, NC 27577-9300

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4046
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8991703
NC
Enumeration date
05/21/2007
Last updated
08/01/2007
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