Individual
VLAD KOKORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 MEMORIAL PKWY SW, HUNTSVILLE, AL 35801-6519
(256) 529-5179
Mailing address
2801 MEMORIAL PKWY SW, HUNTSVILLE, AL 35801-6519
(256) 529-5179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007174-C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Enumeration date
05/08/2023
Last updated
06/08/2023
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