Individual
JASON MICHAEL COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2075 FOREST AVENUE, SUITE 2, SAN JOSE, CA 95128
(408) 298-3433
(408) 298-6304
Mailing address
2075 FOREST AVE STE 2, SAN JOSE, CA 95128-4812
(408) 298-3433
(408) 298-6304
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
48712
CA
Other
Enumeration date
02/16/2007
Last updated
12/13/2013
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