Organization
CLEAR COAST DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ANDERSON (EXECUTIVE OPERATIONS ASSISTANT)
(857) 928-2036
Entity
Organization
Contact information
Practice address
906 HATHAWAY ROAD, NEW BEDFORD, MA 02740
(508) 997-1030
Mailing address
454 E 8TH STREET UNIT 3, BOSTON, MA 02127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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