| NPI | 1912281163 |
|---|---|
| Doing Business As | CRYSTAL COAST DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY HAMPTON SCOTT President 252-393-8168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8030) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |