| NPI | 1154446672 |
|---|---|
| Doing Business As | COASTAL FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA YAMVA PEACOCK CATHCART Owner 413-446-6346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3047) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-06-27 |