| 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 |