Individual
DR. DIMETRY BENEDICT COSSICH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
842 COLLINS BLVD, COVINGTON, LA 70433-2759
(985) 809-1889
Mailing address
14165 S LAKESHORE DR, COVINGTON, LA 70435-5765
(504) 975-5015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6888
LA
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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