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Organization

ERIC PHELPS, DDS, MS AND JASON COHEN, DDS, N

Active
Other names
Phelps & Cohen Orthodontics Dental Practice
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON COHEN MICHAEL COHEN D.D.S., M.S. (DOCTOR/OWNER)
(408) 298-3433
Entity
Organization

Contact information

Practice address
2075 FOREST AVE., STE. 2, SAN JOSE, CA 95128-4812
(408) 298-3433
(408) 298-3433
Mailing address
2075 FOREST AVE., STE. 2, SAN JOSE, CA 95128-4812
(408) 298-3433
(408) 298-6304

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
05/04/2012
Last updated
05/04/2012
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