| NPI | 1588694517 |
|---|---|
| Former Legal Business Name | RANDALL A COGGINS DMD MS PC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WAYNE GLASS Dentist 770-664-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-07-10 |