Individual
DIMETRY B COSSICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1708 MANHATTAN BLVD, SUITE C, HARVEY, LA 70058-3400
(504) 361-5333
(504) 361-5322
Mailing address
1708 MANHATTAN BLVD, SUITE C, HARVEY, LA 70058-3400
(504) 361-5333
(504) 361-5322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4266
LA
Other
Enumeration date
03/27/2007
Last updated
05/05/2011
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