| NPI | 1144039421 |
|---|---|
| Doing Business As | COASTAL SMILES |
| Entity Type | Organization |
| Authorized Contact | JAYCEE LAPID LIM President 310-418-5827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |