Organization
COASTAL DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KUCHAR DMD (CO-OWNER)
(773) 931-2196
Entity
Organization
Contact information
Practice address
118 ALDEN RD, FAIRHAVEN, MA 02719-4721
(508) 994-2255
Mailing address
118 ALDEN RD, FAIRHAVEN, MA 02719-4721
(508) 994-2255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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