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1154814804
DIMETRY BENEDICT COSSICH
COVINGTON, LA
NPI
1154814804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: LA 6888)
Enumeration Date
2018-06-07
Last Update Date
2018-06-07
Business Address
DR. DIMETRY BENEDICT COSSICH DDS
842 COLLINS BLVD
COVINGTON, LA 70433-2759
Phone number: 985-809-1889
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Mailing Address
DR. DIMETRY BENEDICT COSSICH DDS
14165 S LAKESHORE DR
COVINGTON, LA 70435-5765
Phone number: 504-975-5015
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