NPI | 1124116918 |
---|---|
Doing Business As | DBA: RALEIGH PERIODONTICS & IMPLANT DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHERYL A MADSON Office Manager 919-846-2480 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC 5218) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2012-02-29 |