Individual provider · NPI-1

Dr. Byron Leon Cohee, DDS

Dentist, General Practice · Peru, IN

NPI number1861580896
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1861580896
Entity type
Individual (NPI-1)
Name
Dr. Byron Leon Cohee
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Oct 11, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice12008206AINYes

Practice location

65 E 2nd St
Peru, IN 46970-2266

Phone 765-473-5959

Mailing address

65 E 2nd St
P.O. Box 11
Peru, IN 46970-2266

Phone 765-473-5959

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