Individual
TIMOTHEE COUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9650 15TH AVE SW STE 100, SEATTLE, WA 98106-2576
(720) 233-0074
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE61034004
WA
Other
Enumeration date
02/26/2020
Last updated
02/03/2025
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