| NPI | 1104007996 |
|---|---|
| Doing Business As | WILLOWDAILE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DEBORA A BOLTON Dentist 919-479-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 7251) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |