Individual
JACQUELINE COGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16235 NE 11TH CT, NORTH MIAMI BEACH, FL 33162-4505
(305) 947-3439
(305) 940-0790
Mailing address
16235 NE 11TH CT, NORTH MIAMI BEACH, FL 33162-4505
(305) 947-3439
(305) 940-0790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13221
FL
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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