Gary Allan Kokx D.M.D.

NPI 1073541264 - Dentist - 1223G0001X

NPI Details
NPI 1073541264
Gender Male
Enumeration Date 06/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
25 LONG CREEK DR
1
SOUTH PORTLAND ME, 04106-2440, US
Phone (207) 774-6553
Fax (207) 774-0496
Business Location
25 LONG CREEK DR
1
SOUTH PORTLAND ME, 04106-2440, US
Phone (207) 774-6553
Fax (207) 774-0496
Toxanomy
Taxonomy Code 1223G0001X
License State Maine
License Number 2491
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According to our database, Dr. Gary Allan Kokx D.M.D. NPI is 1073541264, taxonomy code is 1223G0001X and license number is 2491, license state is located at Maine. Gary Allan Kokx D.M.D. physically located at 25 Long Creek Dr, South Portland ME, 04106-2440. NPI Number Gary Allan Kokx D.M.D. has the Individual type.

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1073541264 NPI number is provided on an as is basis without warranty of any kind. 1073541264 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Allan Kokx D.M.D. are for informational purposes only.