| NPI | 1558904714 |
|---|---|
| Doing Business As | CENTRAL COAST DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY CABAEL Credentialing Specialist 831-920-2320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |