Individual
DR. MICHAEL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
5723 NE BOTHELL WAY, SUITE C, KENMORE, WA 98028-9404
(425) 486-9111
(425) 489-1923
Mailing address
5723 NE BOTHELL WAY, SUITE C, KENMORE, WA 98028-9404
(425) 486-9111
(425) 489-1923
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4692
WDS #
WA
Enumeration date
01/18/2007
Last updated
07/08/2007
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