Individual
SAMUEL COSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2530 NW MEDICAL PARK DR, ROSEBURG, OR 97471-5510
(541) 837-1713
Mailing address
442 SW UMATILLA AVE STE 200, REDMOND, OR 97756-7039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11645
OR
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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