| 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 |