NPI | 1083037444 |
---|---|
Doing Business As | FIREHOUSE KID'S DENTISTRY |
Entity Type | Organization |
Authorized Contact | VINCENT P. VISSIEHELLI Doctor 910-778-8485 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8363) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2014-04-23 |