| NPI | 1154695112 |
|---|---|
| Doing Business As | DENTAL CENTER AT WATERFORD |
| Entity Type | Organization |
| Authorized Contact | PHILIP FRANCIS BALD Dentist Member Manager 910-202-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8308) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |