| Cohen Modern Dentistry P.c. | |
|
14420 Eureka Rd Southgate MI 48195-2058 | |
| (734) 283-1263 | |
| Not Available |
| Full Name | Cohen Modern Dentistry P.c. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/21/2016 |
| Last Update Date | 01/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104288059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901017871 (Michigan) | Primary |
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