Organization
GENE C COHEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE C COHEN DDS (DENTIST DOCTOR OF DENTAL SURGERY)
(636) 532-2522
Entity
Organization
Contact information
Practice address
15510 OLIVE BLVD, SUITE 120, CHESTERFIELD, MO 63017-0710
(636) 532-2522
(636) 532-8282
Mailing address
15510 OLIVE BLVD, SUITE 120, CHESTERFIELD, MO 63017-0710
(636) 532-2522
(636) 532-8282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012278
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223876308
TAXID
MO
Enumeration date
10/02/2006
Last updated
06/24/2008
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