NPI | 1326614629 |
---|---|
Doing Business As | COAST DENTAL-MANDARIN |
Entity Type | Organization |
Authorized Contact | MELODY RIVERA Credentialing Manager 813-350-7166 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2021-05-28 |
Last Update Date | 2021-05-28 |