Individual
LAWRENCE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4875 FLOYD RD SW, SUITE 113, MABLETON, GA 30126-1379
(770) 732-0900
Mailing address
2502 N ROCKY POINT DR, SUITE 1000-CREDENTIALING, TAMPA, FL 33607-1421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN007036
GA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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