| Gene C Cohen | |
|
15510 Olive Blvd Suite 120 Chesterfield MO 63017-0710 | |
| (636) 532-2522 | |
| (636) 532-8282 |
| Full Name | Gene C Cohen |
|---|---|
| Speciality | Dentist |
| Location | 15510 Olive Blvd, Chesterfield, Missouri |
| Authorized Official Name and Position | Gene C Cohen (DENTIST DOCTOR OF DENTAL SURGERY) |
| Authorized Official Contact | 6365322522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gene C Cohen 15510 Olive Blvd Suite 120 Chesterfield MO 63017-0710 Ph: (636) 532-2522 | Gene C Cohen 15510 Olive Blvd Suite 120 Chesterfield MO 63017-0710 Ph: (636) 532-2522 |
| NPI Number | 1851484760 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851484760 | NPI | - | NPPES |
| 223876308 | Other | MO | TAXID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 012278 (Missouri) | Primary |
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