| NPI | 1659159705 |
|---|---|
| Former Legal Business Name | CALIFORNIA COAST CHILDREN'S DENTAL SURGERY CENTER INC |
| Entity Type | Organization |
| Authorized Contact | ROMEL CASTRO Manager 775-747-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-10-19 |