Provider Demographics
NPI:1861660557
Name:KUZMA-COHEN, JOANNE (DDS)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:KUZMA-COHEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 PASEO DE LAS DELICIAS
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-6439
Mailing Address - Country:US
Mailing Address - Phone:310-373-4561
Mailing Address - Fax:
Practice Address - Street 1:9222 ROSECRANS AVE
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-2140
Practice Address - Country:US
Practice Address - Phone:562-272-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41445122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist