NPI | 1881943660 |
---|---|
Doing Business As | COASTAL COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOHN SINCLAIR President 757-222-3731 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412790) |
Enumeration Date | 2012-09-07 |
Last Update Date | 2012-09-07 |