Individual
DR. PHILLIP JOSEPH KOHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
460 SW CENTER ST, FAISON, NC 28341-8820
(910) 267-0951
Mailing address
130 AZALEA LN, WALLACE, NC 28466-9272
(910) 409-4175
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
8448
NC
1223G0001X
General Practice Dentistry
Primary
8448
NC
Other
Enumeration date
09/20/2006
Last updated
06/20/2013
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