Organization
COHEN ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM COHEN DMD (OWNER)
(860) 670-2669
Entity
Organization
Contact information
Practice address
112 DEMING ST, SUITE A, SOUTH WINDSOR, CT 06074-3763
(860) 644-0863
Mailing address
112 DEMING ST, SUITE A, SOUTH WINDSOR, CT 06074-3763
(860) 644-0863
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10378
CT
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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