Organization
DEARBORN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN H COHEN D.D.S., M.D. (PRESIDENT)
(313) 562-5800
Entity
Organization
Contact information
Practice address
2120 MONROE ST, DEARBORN, MI 48124-2923
(313) 562-5800
(313) 562-6418
Mailing address
2120 MONROE ST, DEARBORN, MI 48124-2923
(313) 562-5800
(313) 562-6418
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
4301069256
MI
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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