Individual
CARLOS KOSE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PHD
Contact information
Practice address
1395 CENTER DR RM D2-27, GAINESVILLE, FL 32610-3006
(352) 273-7957
Mailing address
2570 SW 119TH TER, GAINESVILLE, FL 32608-0052
(352) 870-8074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DRP1952
FL
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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