NPI | 1790800423 |
---|---|
Former Legal Business Name | COASTAL ORAL SURGERY, PA |
Entity Type | Organization |
Authorized Contact | SHARLENE MARPLE Administrator 732-286-1199 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2007-03-20 |
Last Update Date | 2024-03-06 |