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Individual

DR. CAROLYN COCHRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
112 ELDER ST, IRONDALE, AL 35210-2502
(251) 422-7680
Mailing address
112 ELDER ST, IRONDALE, AL 35210-2502
(251) 422-7680

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6188
AL
1223G0001X
General Practice Dentistry
6188
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6188
AL
Enumeration date
06/09/2015
Last updated
06/21/2015
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