Individual
BRIAN J SWANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3990
Mailing address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22309
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
996770
UNITED CONCORDIA
CA
05
—
B2529602
—
CA
Enumeration date
06/21/2007
Last updated
02/23/2012
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