SOUTH COAST DENTAL GROUP LLC
Dentist - General Practice
Active
Organization
NPI: 1790096402
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | D9399 (OR) |
| Dentist - General Practice | 1223G0001X | Yes | - |
Frequently Asked Questions
NPI 1790096402 is the National Provider Identifier for SOUTH COAST DENTAL GROUP LLC, a Dentist - General Practice provider located in Coos Bay, OR. This NPI was enumerated on June 28, 2010.
Quick Facts
- NPI
- 1790096402
- Type
- Organization
- Enumerated
- Jun 28, 2010
- Last Updated
- Feb 23, 2024
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