NPI | 1558816991 |
---|---|
Doing Business As | COAST DENTAL- FORT STEWART |
Entity Type | Organization |
Authorized Contact | DARLENE FINNELL Director Of Ins. And Credentialing 813-288-1999 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2016-08-15 |
Last Update Date | 2016-08-22 |