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Individual

RICHARD CRAFT COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
317 SAINT PAUL ST SW, PRESTON, MN 55965-1097
(507) 765-3634
Mailing address
930 22ND AVE SW, ROCHESTER, MN 55902-3401
(507) 993-0256

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12379
MN
1223G0001X
General Practice Dentistry
2001014487
MO

Other

Enumeration date
09/19/2006
Last updated
08/27/2007
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