South Coast Dental Group LLC
NPI #1790096402 in Coos Bay, Oregon
Provider Information
- NPI Number
- 1790096402
- Entity Type
- Organization
- Organization Name
- South Coast Dental Group LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 28, 2010
- Last Updated
- Feb 23, 2024
Practice Location
Authorized Official
- Name
- MR. NICHOLAS I HORN
- Title
- BILLING & CLAIMS MANAGER
- Phone
- (541) 269-5353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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