| NPI | 1003086174 |
|---|---|
| Doing Business As | PINE VALLEY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KIRSTEN TOI INMAN Office Manager 910-425-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 6315) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2014-10-29 |