Individual
STEPHEN D COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
607 CHESTNUT ST, PHILADELPHIA, PA 19106-2311
(215) 925-6252
(215) 925-6253
Mailing address
607 CHESTNUT ST, PHILADELPHIA, PA 19106-2311
(215) 925-6252
(215) 925-6253
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
017405
PA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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