Organization
COCHRAN ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVIN SCOTT COCHRAN DDS (OWNER)
(210) 714-5525
Entity
Organization
Contact information
Practice address
14855 BLANCO RD, #109, SAN ANTONIO, TX 78216-7728
(210) 714-5525
(210) 981-1501
Mailing address
14855 BLANCO RD, #109, SAN ANTONIO, TX 78216-7728
(210) 714-5525
(210) 981-1501
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14478
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090636402
—
TX
Enumeration date
11/08/2016
Last updated
11/08/2016
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