NPI | 1073249389 |
---|---|
Doing Business As | SHANNON OAKS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | CAROL A GEORGE-PERRY Office Manager 919-803-0168 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-07-28 |
Last Update Date | 2022-07-28 |