Organization
JEFFREY S. COHEN DDS PC
Active
Other names
Lakes Oral and Maxillofacial Surgery PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA LOUISE FETTER (FRONT OFFICE SUPERVISOR)
(248) 669-6600
Entity
Organization
Contact information
Practice address
2300 HAGGERTY RD, SUITE 2030, WEST BLOOMFIELD, MI 48323-2184
(248) 669-6600
(248) 669-6606
Mailing address
2300 HAGGERTY RD, SUITE 2030, WEST BLOOMFIELD, MI 48323-2184
(248) 669-6600
(248) 669-6606
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
JC07120
MI
Other
Enumeration date
07/02/2008
Last updated
05/16/2014
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