Kogan, Mark
Kogan, Mark is an individual health care provider with primary practice located at 3027 Forest Hill Blvd Ste A3 , West Palm Beach FL 33406-5934. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Kogan, Mark can be contacted via phone (561) 459-1488.Contact Information
Primary practice address
3027 Forest Hill Blvd Ste A3
West Palm Beach FL 33406-5934
Phone: (561) 459-1488
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 22DI02581400 | New Jersey |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN24843 | Florida |
Profile Details
NPI number | 1043630197 |
---|---|
LBN Legal business name | Kogan, Mark |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 16th, 2014 |
Last updated | Aug 8th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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