Organization
JOHN BROTHERS DDS MD INC
Active
Other names
Coastline Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BROTHERS DDS MD (OWNER)
(206) 465-8020
Entity
Organization
Contact information
Practice address
23441 MADISON ST STE 200, TORRANCE, CA 90505-4756
(206) 465-8020
Mailing address
23441 MADISON ST STE 200, TORRANCE, CA 90505-4756
(206) 465-8020
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
06/01/2024
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