DR. Bruce Alan Lacoste, D.D.S.

NPI #1689792012 in Kankakee, Illinois

Provider Information

NPI Number
1689792012
Entity Type
Individual
Name
DR. Bruce Alan Lacoste, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
555 W COURT ST
Address 2
SUITE #102
ZIP Code
60901-3664
Phone
(815) 932-3822

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

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