Organization
LAURENCE D. COHEN, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE DAVID COHEN (PRESIDENT)
(310) 378-8861
Entity
Organization
Contact information
Practice address
14610 HAWTHORNE BLVD, LAWNDALE, CA 90260-1521
(310) 676-4746
(310) 676-0944
Mailing address
14610 HAWTHORNE BLVD, LAWNDALE, CA 90260-1521
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255547709
NATIONAL PROVIDER INDENTIFIER
CA
Enumeration date
06/09/2010
Last updated
06/09/2010
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