Individual
DR. MARK INMAN COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
609 BEAVER RUIN RD NW, SUITE E, LILBURN, GA 30047-3401
(770) 717-5552
(770) 279-7916
Mailing address
609 BEAVER RUIN RD NW, SUITE E, LILBURN, GA 30047-3401
(770) 717-5552
(770) 279-7916
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10478
GA
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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