Provider Demographics
NPI:1336398197
Name:COCHRAN, NATALIE CORINNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:CORINNE
Last Name:COCHRAN
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 1:11630 WELEBIR ST
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3634
Mailing Address - Country:US
Mailing Address - Phone:909-796-2523
Mailing Address - Fax:
Practice Address - Street 1:7283 CARNELIAN ST
Practice Address - Street 2:
Practice Address - City:ALTA LOMA
Practice Address - State:CA
Practice Address - Zip Code:91701-5526
Practice Address - Country:US
Practice Address - Phone:909-987-6268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57516122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist