| NPI | 1649357880 |
|---|---|
| Doing Business As | COAST DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | GHASSAN R ANTAKI Owner 805-352-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38024) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-07-14 |