NPI | 1023753878 |
---|---|
Doing Business As | CROSS COUNTY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOHN A DURANT Owner 803-225-0145 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-05-04 |
Last Update Date | 2022-05-04 |