Individual
DR. VINCENT KOKICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
1950 S CEDAR ST, SUITE #E, TACOMA, WA 98405-2315
(253) 627-5688
(253) 272-6719
Mailing address
1950 S CEDAR ST, SUITE #E, TACOMA, WA 98405-2315
(253) 627-5688
(253) 272-6719
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00008458
WA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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