Coastal Dental Associates, Llc

NPI 1104214451 - Dentist - 1223G0001X

NPI Details
NPI 1104214451
Enumeration Date 01/08/2015
Last Updated 01/08/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JENNIFER JENNIFER
Position CO-OWNER
Phone (508) 994-2255
Fax
Practice Location
118 ALDEN RD
FAIRHAVEN MA, 02719-4721, US
Phone (508) 994-2255
Fax
Business Location
118 ALDEN RD
FAIRHAVEN MA, 02719-4721, US
Phone (508) 994-2255
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Coastal Dental Associates, Llc NPI is 1104214451, taxonomy code is 1223G0001X Coastal Dental Associates, Llc physically located at 118 Alden Rd, Fairhaven MA, 02719-4721. NPI Number 1033115704 has the healthcare provider type.

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1104214451 NPI number is provided on an as is basis without warranty of any kind. 1104214451 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Dental Associates, Llc are for informational purposes only.