| NPI | 1295114478 |
|---|---|
| Doing Business As | EASTOVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | RYAN LONDRY Owner 910-270-6096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |