| NPI | 1366229775 |
|---|---|
| Doing Business As | COASTAL ORAL SURGERY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JEFFREY CAPES Managing Dentist 912-439-3841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-01-19 |