Most Relevant Information
Provider Data
| NPI Number: | 1003835489 |
| Provider Name: | RICHARD COHEN DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0221X |
| Specialty: | Dentist |
| License Number: | 12010527 |
Most Important Dates
| Enumeration Date: | 07/18/2006 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
1005 E LASALLE AVE
SOUTH BEND
IN
466172818
Practice Location Phone/Fax
| Phone: | 5742457501 |
| Fax: | 5742457502 |
Provider Mailing Location
1005 E LASALLE AVE
SOUTH BEND
IN
466172818
Provider Mailing Phone/Fax
| Phone: | 5742457501 |
| Fax: | 5742457502 |