| 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 |