NPI | 1144937699 |
---|---|
Doing Business As | O2 DENTAL GROUP OF RALEIGH |
Entity Type | Organization |
Authorized Contact | CRYSTAL MATTHEWS General Manager 910-988-3841 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-11-03 |
Last Update Date | 2022-12-13 |