Organization
COSMETIC AND FAMILY DENTISTRY OF THE NORTH SHORE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN P COUSIN DMD (OWNER)
(781) 593-1180
Entity
Organization
Contact information
Practice address
128 BURRILL STREET, SWAMPSCOTT, MA 01907
(781) 593-1180
(781) 581-1180
Mailing address
128 BURRILL STREET, SWAMPSCOTT, MA 01907
(781) 593-1180
(781) 581-1180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14341
MA
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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