Organization · Type 2 NPI

Coastal Pediatric Dentistry, LLC

Dental Clinic/Center · Gulfport, MS

NPI number 1184167553 Active

About NPI 1184167553

Coastal Pediatric Dentistry, LLC's National Provider Identifier is 1184167553, issued on Dec 2, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Gulfport, MS. The record was last updated on Dec 2, 2016.