| NPI | 1043941644 |
|---|---|
| Former Legal Business Name | COAST HARBOUR DENTAL AND HEALTH ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PERKS Dentist 813-422-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261Q00000X |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |