Individual
DR. KEITH ANTHONY COHRS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8110 COOLEY DR, PORTAGE, MI 49024-4046
(269) 382-3125
(269) 382-3163
Mailing address
8110 COOLEY DR, PORTAGE, MI 49024-4046
(269) 382-3125
(269) 382-3163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018205
MI
Other
Enumeration date
06/25/2006
Last updated
08/17/2010
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