Organization
COSMETIC & FAMILY DENTISTRY OF THE NORTH SHORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN COUSIN (OWNER)
(781) 593-1180
Entity
Organization
Contact information
Practice address
128 BURRILL ST, SWAMPSCOTT, MA 01907-1808
(781) 593-1180
(781) 581-1180
Mailing address
128 BURRILL ST, SWAMPSCOTT, MA 01907-1808
(781) 593-1180
(781) 581-1180
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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