Individual
JAN M COSSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
204 WATERFORD SQUARE, MADISON, MS 39110
(601) 856-9779
(601) 856-9120
Mailing address
204 WATERFORD SQUARE, MADISON, MS 39110
(601) 856-9779
(601) 856-9120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2645-91
MS
Other
Enumeration date
01/10/2007
Last updated
10/10/2008
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