| NPI | 1962036343 |
|---|---|
| Doing Business As | SUNCOAST DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | TAN TRUNG NGHIEM President 714-800-9483 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |