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Organization
JOSEPH W COCHRAN DDS PC
Active
Organization
JOSEPH W COCHRAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH COCHRAN DDS (PRESIDENT/OWNER)
(574) 288-5252
Entity
Organization
Contact information
Practice address
915 S IRONWOOD DR, SOUTH BEND, IN 46615-1613
(574) 288-5252
Mailing address
915 S IRONWOOD DR, SOUTH BEND, IN 46615-1613
(574) 288-5252
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326060641
—
IN
Enumeration date
05/09/2019
Last updated
05/09/2019
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