Organization
EDWIN M. COCHRAN DDS
Active
Other names
Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN M. COCHRAN D.D.S. (OWNER)
(641) 236-6174
Entity
Organization
Contact information
Practice address
902 PARK ST, GRINNELL, IA 50112-2050
(641) 236-6174
(641) 236-8784
Mailing address
902 PARK ST, GRINNELL, IA 50112-2050
(641) 236-6174
(641) 236-8784
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5910
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068486
—
IA
Enumeration date
05/20/2008
Last updated
05/20/2008
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