| NPI | 1144370768 |
|---|---|
| Doing Business As | COASTAL DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DEREK DUNGQUANG DUONG President 949-515-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48906) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2017-12-29 |