Individual
DR. BRANDON COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2803 W 95TH ST, EVERGREEN PARK, IL 60805-2702
(708) 419-1402
Mailing address
1376 BERKLEY CT, BUFFALO GROVE, IL 60089-6811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033291
IL
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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