NPI | 1114782836 |
---|---|
Doing Business As | DENTAL TRANSFORMATIONS LELAND |
Entity Type | Organization |
Authorized Contact | KALEB C THOMPSON Owhner 252-335-4341 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-02-21 |
Last Update Date | 2024-02-21 |