| NPI | 1922674837 |
|---|---|
| Doing Business As | FRESH COAST FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SCOTT CHEN President 818-502-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |