| NPI | 1952167033 |
|---|---|
| Doing Business As | COASTLINE ORAL AND FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JOHN BROTHERS Owner 206-465-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-06-01 |