| NPI | 1083169569 |
|---|---|
| Doing Business As | OMNIDENTAL |
| Entity Type | Organization |
| Authorized Contact | FONDA SMITH STRICKLAND Owner 336-287-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 9407) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |