NPI | 1245436237 |
---|---|
Other Name | WESTLAKE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MIKE WANSIK CHOE President 910-864-2944 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6412) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2016-04-21 |