Coastal Dental Associates, LLC
NPI #1104214451 in Fairhaven, Massachusetts
Provider Information
- NPI Number
- 1104214451
- Entity Type
- Organization
- Organization Name
- Coastal Dental Associates, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 8, 2015
- Last Updated
- Jan 8, 2015
Practice Location
- Address
- 118 ALDEN RD
- City
- Fairhaven
- State
- Massachusetts
- ZIP Code
- 02719-4721
- Phone
- (508) 994-2255
Authorized Official
- Name
- JENNIFER KUCHAR, DMD
- Title
- CO-OWNER
- Phone
- (773) 931-2196
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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