| NPI | 1780992909 |
|---|---|
| Doing Business As | COASTAL SMILES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | COLLIN LE Owner 910-796-8305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8770) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2011-01-14 |