NPI | 1104329846 |
---|---|
Doing Business As | NORTHCHASE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | PHILLIP J KOHUT Owner 910-409-4175 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8448) |
Enumeration Date | 2018-03-08 |
Last Update Date | 2018-03-08 |