| NPI | 1780423905 |
|---|---|
| Doing Business As | COASTAL DENTURES & IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | ANNETTE RODRIGUEZ-LEBRON CFO 252-208-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |