| NPI | 1245779123 |
|---|---|
| Doing Business As | CAROLINA@GLENWOOD SOUTH |
| Entity Type | Organization |
| Authorized Contact | CHRISTY BALDWIN Manager 919-345-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |