| NPI | 1942372719 |
|---|---|
| Doing Business As | COASTAL ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DANIEL M TORRES BAYONA Orthodontist 361-993-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 18420) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-07-23 |