Bandon Coastal Dental, LLC

NPI #1063756401 in Bandon, Oregon

Provider Information

NPI Number
1063756401
Entity Type
Organization
Organization Name
Bandon Coastal Dental, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Nov 26, 2012
Last Updated
Nov 26, 2012

Practice Location

Address
1097 BALTIMORE AVE
City
Bandon
State
Oregon
ZIP Code
97411
Phone
(541) 329-0550

Authorized Official

Name
DR. PAUL MORRIS PANTLEO, D.D.S.
Title
OWNER
Phone
(541) 329-0550

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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