Individual
IRA COHEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
661 MCKEAN AVE, DONORA, PA 15033-1002
(407) 772-5124
(407) 788-3572
Mailing address
926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
(407) 788-3572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS025536
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011197280008
—
PA
05
—
0011197280011
—
PA
05
—
0011197280013
—
PA
05
—
0011197280014
—
PA
05
—
0011197280017
—
PA
05
—
0011197280018
—
PA
05
—
0011197280020
—
PA
05
—
0011197280021
—
PA
05
—
0011197280022
—
PA
05
—
0011197280023
—
PA
05
—
0011197280024
—
PA
05
—
0011197280025
—
PA
05
—
0011197280026
—
PA
Enumeration date
04/03/2006
Last updated
07/09/2007
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