| NPI | 1740325836 |
|---|---|
| Doing Business As | COASTAL ORTHODONTIC CARE II |
| Entity Type | Organization |
| Authorized Contact | ADAM GARY LAUTT President 805-650-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |