| NPI | 1790096402 |
|---|---|
| Doing Business As | SOUTH COAST FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS I HORN Billing & Claims Manager 541-269-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: OR D9399) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2024-02-23 |