NPI | 1245772995 |
---|---|
Doing Business As | 4K DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANTHONY OLULAJA OLAYIWOLA KOFOWOROLA-KUTI Clinical Director 336-354-9314 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 32432) |
Enumeration Date | 2016-11-11 |
Last Update Date | 2016-11-11 |