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Bruce Lacoste, D.D.S
NPI 1689792012 · on the registry since 2007 · sole proprietor
Practice
- Address
- 555 W Court St
Suite #102
Kankakee, IL 60901 - Phone
- (815) 932-3822
- Fax
- (815) 937-3524
- Organisation at this address
- Presence Home Care
Medcentre Pharmacy
Michel H. Malek, Md Sc
Cpc Surgical Suite Llc
George B Verghese Md ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois