| NPI | 1255943163 |
|---|---|
| Former Legal Business Name | OCEANSIDE GENTLE DENTISTRY |
| Former Legal Business Name | OCEANSIDE GENTLE DENTISTRY, PLLC |
| Entity Type | Organization |
| Authorized Contact | NEHAL ALI Dentist/President 754-238-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |