Organization
PHILLIP J KOHUT DMD PLLC
Active
Other names
Northchase Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP J KOHUT DMD (OWNER)
(910) 409-4175
Entity
Organization
Contact information
Practice address
2709 NORTHCHASE PKWY SE, WILMINGTON, NC 28405-7421
(919) 409-4175
Mailing address
130 AZALEA LN, WALLACE, NC 28466-9272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8448
NC
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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