Individual
DR. TERRELL COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1090 DOLLIVER ST, PISMO BEACH, CA 93449-2508
(805) 773-2500
Mailing address
375 PLANCHA WAY, ARROYO GRANDE, CA 93420-4610
(805) 747-4584
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
24961
CA
Other
Enumeration date
06/08/2005
Last updated
03/06/2010
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