Individual
LISA COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14955 SHADY GROVE RD, SUITE 330, ROCKVILLE, MD 20850
(301) 340-0101
(301) 340-1689
Mailing address
14955 SHADY GROVE RD, SUITE 330, ROCKVILLE, MD 20850
(301) 340-0101
(301) 340-3836
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14075
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN1000630
DC
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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