Organization
JOSH COCHRAN 11919, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA COCHRAN DMD (OWNER)
(509) 475-1362
Entity
Organization
Contact information
Practice address
11919 W SUNSET HIGHWAY, AIRWAY HEIGHTS, WA 99001
(509) 903-8719
Mailing address
13514 E 32ND AVE, SPOKANE VALLEY, WA 99216-6002
(206) 755-6436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE60295294
STATE OF WA
WA
01
—
DE60593835
STATE OF WA
WA
01
—
DE60606819
STATE OF WA
WA
Enumeration date
01/13/2022
Last updated
04/28/2022
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