Individual
DR. MICHAEL LAWRENCE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
166 LAKEMONT PARK BLVD, ALTOONA, PA 16602-5900
(814) 949-2622
Mailing address
166 LAKEMONT PARK BLVD, ALTOONA, PA 16602-5900
(814) 949-2622
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS027561L
PA
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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