| Coastal Dental Associates, Llc | |
|
118 Alden Rd Fairhaven MA 02719-4721 | |
| (508) 994-2255 | |
| Not Available |
| Full Name | Coastal Dental Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 118 Alden Rd, Fairhaven, Massachusetts |
| Authorized Official Name and Position | Jennifer Kuchar (CO-OWNER) |
| Authorized Official Contact | 7739312196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Dental Associates, Llc 118 Alden Rd Fairhaven MA 02719-4721 Ph: (508) 994-2255 | Coastal Dental Associates, Llc 118 Alden Rd Fairhaven MA 02719-4721 Ph: (508) 994-2255 |
| NPI Number | 1104214451 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 01/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104214451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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