NPI | 1790127173 |
---|---|
Doing Business As | COASTAL PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAMES ALEXANDER FORESTER Co Owner/Partner 805-592-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 50253) |
Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 55823) |
Enumeration Date | 2013-07-25 |
Last Update Date | 2013-07-25 |