Organization
PLYMOUTH DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANN CUSSON DMD (DENTIST)
(508) 746-6686
Entity
Organization
Contact information
Practice address
72 SUMMER ST, PLYMOUTH, MA 02360-3457
(508) 746-6686
(508) 746-3015
Mailing address
72 SUMMER ST, PLYMOUTH, MA 02360-3457
(508) 746-6686
(508) 746-3015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20542
MA
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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