| NPI | 1023634730 |
|---|---|
| Doing Business As | D |
| Doing Business As | DENTISTRY OF THE PINES |
| Entity Type | Organization |
| Authorized Contact | KRIS REYNOLDS Office Manager 910-684-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |