| NPI | 1710245725 |
|---|---|
| Doing Business As | COASTAL SMILE DESIGN |
| Entity Type | Organization |
| Authorized Contact | KAREN A PARVIN President 757-233-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401411126) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2020-11-16 |