Individual
JOHN COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10823 HAWTHORNE BLVD STE A, LENNOX, CA 90304-4322
(818) 786-6000
(818) 786-8820
Mailing address
10823 HAWTHORNE BLVD STE A, LENNOX, CA 90304-4322
(818) 786-6000
(818) 786-8820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
40423
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
40423
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B40423-01
DENTICAL PROVIDER NUMBER
CA
Enumeration date
11/10/2006
Last updated
10/13/2020
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