| NPI | 1942456025 |
|---|---|
| Doing Business As | COASTAL JAW SURGERY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. PIKOS President 727-786-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |