NPI | 1346644176 |
---|---|
Doing Business As | COASTAL ENDODONTICS |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER LEA Owner 912-756-5960 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA DN013079) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2014-10-22 |