NPI | 1063716124 |
---|---|
Doing Business As | PREMIER DENTISTRY OF WAKE FOREST |
Entity Type | Organization |
Authorized Contact | BRIAN TIMOTHY PRESSLEY Owner 919-554-4588 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9041) |
Enumeration Date | 2011-01-04 |
Last Update Date | 2011-01-04 |