| NPI | 1255546420 |
|---|---|
| Doing Business As | DURHAM PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT CHRISTENSEN Owner, President, Dentist 919-489-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NC 5274) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2019-10-03 |