| NPI | 1619856614 |
|---|---|
| Doing Business As | COASTAL SMILES FAMILY ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA CARDINAL Owner 239-261-7091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |