Individual
JOHANNA GHOSSEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 COUNTY RD, BOURNE, MA 02532-3756
(508) 759-8331
Mailing address
2 MERCURY AVE, POCASSET, MA 02559-2249
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH88812
MA
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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