| NPI | 1891830022 |
|---|---|
| Doing Business As | COASTAL IMAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANIEL C HUANG President 949-863-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35907) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-10-12 |