| NPI | 1699170712 |
|---|---|
| Doing Business As | COASTAL DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | DAVID SHANE WELCH Dentist/Owner 251-377-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 6013) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |