| NPI | 1851484760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE C COHEN Dentist Doctor Of Dental Surgery 636-532-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 012278) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-06-24 |