| NPI | 1396312096 |
|---|---|
| Doing Business As | COAST DENTAL-MELBOURNE |
| Entity Type | Organization |
| Authorized Contact | MELODY RIVERA Credentialing Manager 813-350-7166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |