| Coastdental | |
|
1976 College Blvd Oceanside CA 92056-5939 | |
| (760) 758-9400 | |
| Not Available |
| Full Name | Coastdental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1976 College Blvd, Oceanside, California |
| Authorized Official Name and Position | Thomas William Maddocks (DENTIST OWNER) |
| Authorized Official Contact | 7607589400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastdental 77 S La Senda Dr Laguna Beach CA 92651-6730 Ph: (949) 499-1752 | Coastdental 1976 College Blvd Oceanside CA 92056-5939 Ph: (760) 758-9400 |
| NPI Number | 1730390477 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730390477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 32352 (California) | Primary |
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