| NPI | 1659861425 |
|---|---|
| Doing Business As | SUNCOAST ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DOROTHEA BERRY Omfs 562-240-3054 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 52968) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |