NPI | 1063868438 |
---|---|
Doing Business As | CAROLINA ORTHODONTIC AND CHILDREN'S DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHANEL PORTER Office Manager 919-977-0627 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8947) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 8431) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2018-12-10 |