| NPI | 1184707200 |
|---|---|
| Other Name | CAROLINA CENTER FOR COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN F CERASO Dr. 910-692-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7562) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS027256L) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |