| NPI | 1013623982 |
|---|---|
| Doing Business As | WEST COAST PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIANNE N FERGUSON President 231-780-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-03-26 |