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Individual

DR. GREGORY COCHRANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3143 STATE RD, SUITE 100, LA CROSSE, WI 54601-6964
(608) 788-0030
Mailing address
3143 STATE RD STE 100, LA CROSSE, WI 54601-6964
(608) 788-0030

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001163
WI
1223G0001X
General Practice Dentistry
1001163
WI

Other

Enumeration date
07/06/2015
Last updated
05/12/2021
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