| NPI | 1053400853 |
|---|---|
| Doing Business As | COASTAL CAROLINA ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TODD ALAN FISCHER President Of Corporation 910-353-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-09-18 |