Provider Demographics
NPI:1295114437
Name:GOEL & COHEN DENTAL CORPORATION
Entity type:Organization
Organization Name:GOEL & COHEN DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOHEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-923-0038
Mailing Address - Street 1:8207 3RD ST
Mailing Address - Street 2:102
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3729
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8207 3RD ST
Practice Address - Street 2:102
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3729
Practice Address - Country:US
Practice Address - Phone:562-923-0038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental