| NPI | 1093173569 |
|---|---|
| Doing Business As | COASTAL ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | BENAIFER DON PREZIOSI President 609-927-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02353700) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |