| NPI | 1194212456 |
|---|---|
| Doing Business As | CROSSCREEK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIAN LANIER MAYNOR Dentist 252-533-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 10438) |
| Enumeration Date | 2018-04-21 |
| Last Update Date | 2018-04-21 |