Organization
SOUTHCOAST COMMUNITY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LEITE (OWNER)
(774) 451-2067
Entity
Organization
Contact information
Practice address
603 NEW BEDFORD RD, ROCHESTER, MA 02770-4125
(774) 451-2067
Mailing address
603 NEW BEDFORD RD, PO BOX 22, ROCHESTER, MA 02770-4125
(774) 451-2067
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DH13264
MA
261QD0000X
Dental Clinic/Center
DH14025
MA
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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