| NPI | 1619068822 |
|---|---|
| Doing Business As | COASTALPERIODONTICS & IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LAUREN A METZGER Owner 251-342-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-03-17 |