Organization
COASTAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN O CRUZ (OFFICE MANAGER)
(252) 247-2169
Entity
Organization
Contact information
Practice address
405 N 35TH ST, MOREHEAD CITY, NC 28557-3107
(252) 247-2169
(252) 247-9563
Mailing address
405 N 35TH ST, MOREHEAD CITY, NC 28557-3107
(252) 247-2169
(252) 247-9563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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