Justin L Cochell, DMD Valid NPI

Individual provider · General Practice Dentistry · Washougal, WA

NPI

1891926879

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DE60309049 (WA)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-08-07

Last updated

2012-11-29