| NPI | 1902323314 |
|---|---|
| Other Name | COMMUNITY HEALTH CENTERS COASTAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | RONALD E CASTLE Chief Executive Officer 805-361-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |