| NPI | 1669578100 |
|---|---|
| Doing Business As | COASTAL JAW SURGERY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. PIKOS Prisident 727-786-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |