| NPI | 1093187973 |
|---|---|
| Doing Business As | BEACH ROAD DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CAMMIE MORRIS Member/President 910-457-7167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8605) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |