# CRYSTAL COAST COSMETIC CARE ENT SURGICAL SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346090065
- **Authorized official:** DR. DAVID CHRISTOPHER ROSKA DO (PLLC BUSINESS OWNER)
- **Authorized official phone:** (252) 503-8707

## Contact information

- **Practice address:** 231 WB MCLEAN DR, CAPE CARTERET, NC 28584-8515
- **Practice address phone:** (252) 764-5414
- **Mailing address:** 101 HOPE TOWN CT, CEDAR POINT, NC 28584-4501
- **Mailing address phone:** (252) 503-8707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |
| 207YP0228X | Pediatric Otolaryngology Physician | — | — | — |
| 207YX0602X | Otolaryngic Allergy Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2024
- **Last updated:** 06/05/2026