| NPI | 1912778960 |
|---|---|
| Doing Business As | COASTLINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RANDAL LEONI Owner Dentist 760-500-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-11-13 |