NPI | 1174949549 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD HENRY ESHAM President 251-343-0501 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 6036) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2014-03-10 |