| NPI | 1134264195 |
|---|---|
| Other Name | EASTERN ORTHODONTICS & PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JASPER LEE LEWIS President 252-752-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |