Healthcare Provider Details
I. General information
NPI: 1750278495
Provider Name (Legal Business Name): DAVID N COHEN DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4233 COLDWATER CANYON AVE
STUDIO CITY CA
91604-1934
US
IV. Provider business mailing address
6242 TEESDALE AVE
NORTH HOLLYWOOD CA
91606-3126
US
V. Phone/Fax
- Phone: 818-980-3333
- Fax:
- Phone: 818-913-4031
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
N
COHEN
Title or Position: OWNER
Credential: DDS
Phone: 818-913-4031