| NPI | 1568518587 |
|---|---|
| Former Legal Business Name | WESTCOAST DENTAL DBA SUNCOAST DENTAL |
| Entity Type | Organization |
| Authorized Contact | CRAIG STEPHEN CHERWINSKI Owner 623-584-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 0090) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-12-23 |