| NPI | 1396567095 |
|---|---|
| Doing Business As | CORAL REEF PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RAYNALD LEON DESAMEAU Owner/Member 912-332-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |