| NPI | 1619694510 |
|---|---|
| Doing Business As | COASTAL IMPLANT AND ADVANCED DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROHIT MATHUR Owner 786-212-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-10-21 |