| NPI | 1083548580 |
|---|---|
| Doing Business As | COASTAL KIDS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JEREMY MACEO IRVING Owner/Dentist 302-644-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2026-06-10 |
| Last Update Date | 2026-06-10 |