SCOTT KOOISTRA

BEAUFORT, SC
NPI1447221320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12009770A)
Enumeration Date2006-01-30
Last Update Date2022-08-03
Business Address
Dr. SCOTT KOOISTRA D.D.S
1 PINCKNEY BLVD
BEAUFORT, SC 29902-6122
Phone number: 843-228-2683
Mailing Address
Dr. SCOTT KOOISTRA D.D.S
508 SWITCHGRASS LN
GRAYSLAKE, IL 60030-3522
Phone number: 847-752-8360
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