| NPI | 1790417905 |
|---|---|
| Doing Business As | SURF CITY DENTIST |
| Entity Type | Organization |
| Authorized Contact | JEFFREY MICHAEL COLEMAN Owner/President 714-847-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |