NPI | 1245015932 |
---|---|
Doing Business As | CONTEMPORARY DENTAL |
Entity Type | Organization |
Authorized Contact | MARY CHAFFIN Credentialing Specialist 704-997-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-08-30 |
Last Update Date | 2024-03-21 |