NPI | 1063836716 |
---|---|
Doing Business As | CAROLINASDENTIST.COM |
Entity Type | Organization |
Authorized Contact | CLIFTON CAMERON Owner 910-998-5483 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8549) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8837) |
Enumeration Date | 2014-02-14 |
Last Update Date | 2018-06-20 |