NPI | 1245370451 |
---|---|
Former Legal Business Name | KEITH & FISHER, DDS, PA |
Entity Type | Organization |
Authorized Contact | DAVID M FISHER Owner/President 336-288-1242 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-02-07 |
Last Update Date | 2023-09-14 |