Individual
DR. GREGORY S. COUSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
555 PARKVIEW ST, WAUSEON, OH 43567-1239
(419) 337-5201
Mailing address
555 PARKVIEW ST, WAUSEON, OH 43567-1239
(419) 337-5201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17321
OH
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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