COASTKIDS PEDIATRIC DENTISTRY, PLLC

GULFPORT, MS
NPI1093262974
Entity TypeOrganization
Authorized ContactLANETTE L HENRY
Office Administrator
228-896-5197
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: MS  2005-83)
Enumeration Date2016-09-08
Last Update Date2016-09-08
Business Address
COASTKIDS PEDIATRIC DENTISTRY, PLLC
1635 E PASS RD
GULFPORT, MS 39507-3527
Phone number: 228-896-5197
Mailing Address
COASTKIDS PEDIATRIC DENTISTRY, PLLC
1635 E PASS RD
GULFPORT, MS 39507-3527
Phone number: 228-896-5197