Organization
SOUTHCOAST ENDODOTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER R LACOSTE DMD (PRESIDENT)
(508) 997-1766
Entity
Organization
Contact information
Practice address
1155 PURCHASE STREET, NEW BEDFORD, MA 02740
(508) 997-1766
(508) 996-4558
Mailing address
1155 PURCHASE STREET, NEW BEDFORD, MA 02740
(508) 997-1766
(508) 996-4558
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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