| NPI | 1205568391 |
|---|---|
| Doing Business As | COASTLINE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ASHTON DAHMS President 239-530-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2024-01-09 |