NPI | 1255627915 |
---|---|
Doing Business As | SANFORD PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANTONIO STANLEY BRAITHWAITE Owner/ Pediatric Dentist 919-260-1154 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2011-06-21 |
Last Update Date | 2011-06-21 |