| NPI | 1538558069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ANTHONY COATES Dentist/Owner 562-434-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35386) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |