Most Relevant Information
Provider Data
NPI Number: | 1003299355 |
Provider Name: | GREGORY COCHRANE D.D.S. |
Entity Type: | Individual |
Taxonomy Code: | 1223G0001X |
Specialty: | Dentist |
License Number: | 1001163 |
Most Important Dates
Enumeration Date: | 07/06/2015 |
Last Updated: | 05/12/2021 |
Provider Practice Location
3143 STATE RD
SUITE 100
LA CROSSE
WI
546016964
Practice Location Phone/Fax
Phone: | 6087880030 |
Fax: |
Provider Mailing Location
3143 STATE RD STE 100
LA CROSSE
WI
546016964
Provider Mailing Phone/Fax
Phone: | 6087880030 |
Fax: |