| NPI | 1861114233 |
|---|---|
| Doing Business As | COASTAL DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM JENNINGS Owner 972-248-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |