Organization
TREASURE COAST ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD D. KOSAKOSKI DMD (PRESIDENT)
(858) 837-1128
Entity
Organization
Contact information
Practice address
900 SE OCEAN BLVD STE B110, STUART, FL 34994-3503
(858) 837-1128
(858) 755-4787
Mailing address
900 SE OCEAN BLVD STE B110, STUART, FL 34994-3503
(858) 837-1128
(858) 755-4787
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN 10933
FL
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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