Individual
DR. JAMES LEE COCKLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9337 BRANDON ST, MANASSAS PARK, VA 20111-8203
(703) 361-3999
Mailing address
9337 BRANDON ST, MANASSAS PARK, VA 20111-8203
(703) 361-3999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104404
CO
Other
Enumeration date
06/13/2005
Last updated
07/08/2007
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