NPI | 1427869536 |
---|---|
Doing Business As | COSMETIC COAST DENTAL SPA |
Entity Type | Organization |
Authorized Contact | BRITTA LUNDGREN Dentist/Owner 910-233-4236 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-01-17 |
Last Update Date | 2025-01-17 |