| NPI | 1003992223 |
|---|---|
| Other Name | SPRING LAKE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ANGELA MICHELE CARR FINCH Office Manager 910-497-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |