BRANDON WAYNE COUSINS DDS
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1417448259- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 485 WILDWOOD PKWY STE 5, BALLWIN, MO, 630112667
- Phone
- (636) 227-8400
Specialties & Taxonomies
Dentist, General Practice
Primary License: MO #2018016943