Individual
DR. KAILAND COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
1395 CENTER DR # D10-6, GAINESVILLE, FL 32610-3006
(352) 273-5800
Mailing address
500 N HIGHLAND AVE, TARPON SPRINGS, FL 34688-8942
(727) 809-1869
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN24256
FL
390200000X
Student in an Organized Health Care Education/Training Program
24256
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/03/2019
Last updated
07/02/2022
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