NPI | 1083719546 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN JOSEPH TREMAN President 910-762-4867 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 1109) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2020-08-22 |