| NPI | 1851869648 |
|---|---|
| Doing Business As | COASTAL MEDICAL CARE |
| Entity Type | Organization |
| Authorized Contact | LUGENE ANTHONY INZANA Senior Vice President & CFO 207-662-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2019-04-30 |