| NPI | 1134541584 |
|---|---|
| Doing Business As | CAMERON VILLAGE DENTIST |
| Entity Type | Organization |
| Authorized Contact | JESSICA ERIN SHIREMAN Dentist 919-259-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 8992) |
| Enumeration Date | 2014-01-19 |
| Last Update Date | 2014-01-21 |