| NPI | 1972302453 |
|---|---|
| Doing Business As | COASTAL PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | LEONARD JAMES COCHRANE Owner/Periodontist 864-313-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |