Individual
MRS. LISA M COHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
331 4TH AVE E, TRENTON, ND 58853-9998
(701) 774-0461
(701) 774-8003
Mailing address
331 4TH AVE E, PO BOX 210, TRENTON, ND 58853-9998
(701) 774-0461
(701) 774-8003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2052
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2052
ND LICENSE
ND
Enumeration date
09/17/2009
Last updated
09/17/2009
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