| NPI | 1619893336 |
|---|---|
| Doing Business As | GULF COAST DENTAL IMPLANTS & ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JENN HERITAGE Credentialing Manager 402-805-4516 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2026-06-26 |
| Last Update Date | 2026-06-26 |