Individual
DR. DAVID ROBERT CUSANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
803 MASS AVE, LEXINGTON, MA 02420-3918
(781) 862-8220
(781) 862-3050
Mailing address
803 MASS AVE, LEXINGTON, MA 02420-3918
(781) 862-8220
(781) 862-3050
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
18286
MA
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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