Individual
DR. I GARY KATCOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3559 WHEELER ROAD, AUGUSTA, GA 30909
(706) 729-1725
(706) 729-1728
Mailing address
3559 WHEELER ROAD, AUGUSTA, GA 30909
(706) 729-1725
(706) 729-1728
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
09357
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00239478A
—
GA
Enumeration date
09/20/2006
Last updated
07/08/2007
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