Individual
DR. CAROLYN COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-2125
Mailing address
300 RIVER RD APT 202, MANCHESTER, NH 03104-2401
(603) 714-1524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18452
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12
—
MA
Enumeration date
07/30/2015
Last updated
07/30/2015
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