NPI | 1255111365 |
---|---|
Doing Business As | WELLS FAMILY DENTAL GROUP- GATEWAY COMMONS |
Entity Type | Organization |
Authorized Contact | ALICIA POPE Director Of Insurance 919-266-5332 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-10-05 |
Last Update Date | 2023-10-05 |