| NPI | 1205205762 |
|---|---|
| Doing Business As | CAROLINA DENTAL ARTS @ BLAKENEY |
| Entity Type | Organization |
| Authorized Contact | KYLE ROTH President 919-345-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |