Individual
BARBARA C KOGUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4910 E CHANDLER BLVD, PHOENIX, AZ 85048-0866
(480) 785-7600
Mailing address
4910 E CHANDLER BLVD, PHOENIX, AZ 85048-0866
(480) 785-7600
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4440
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4440
ARIZONA STATE BOARD OF DENTAL EXAMINERS
AZ
Enumeration date
08/13/2013
Last updated
08/13/2013
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