Cohen Modern Dentistry P.c. | |
14420 Eureka Rd Southgate MI 48195-2058 | |
(734) 283-1263 | |
Not Available |
Full Name | Cohen Modern Dentistry P.c. |
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Speciality | Dentist |
Location | 14420 Eureka Rd, Southgate, Michigan |
Authorized Official Name and Position | Jason M Cohen (OWNER) |
Authorized Official Contact | 7342831263 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cohen Modern Dentistry P.c. 14420 Eureka Rd Southgate MI 48195-2058 Ph: () - | Cohen Modern Dentistry P.c. 14420 Eureka Rd Southgate MI 48195-2058 Ph: (734) 283-1263 |
NPI Number | 1104288059 |
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Provider Enumeration Date | 03/21/2016 |
Last Update Date | 01/04/2017 |
Identifier | Type | State | Issuer |
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1104288059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 2901017871 (Michigan) | Primary |
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