NPI | 1376868505 |
---|---|
Other Name | COCHRAN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARSHALL KENT COCHRAN Owner/Provider 307-635-3044 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 567) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WY 1033) |
Enumeration Date | 2010-03-31 |
Last Update Date | 2010-03-31 |