Individual
FAITH COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8610 GEORGIA AVE, SILVER SPRING, MD 20910-3404
(301) 589-2714
Mailing address
8610 GEORGIA AVE, SILVER SPRING, MD 20910-3404
(301) 589-2714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9297
MD
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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