NPI | 1316064918 |
---|---|
Doing Business As | FAMILY DENTISTRY FOR A LIFETIMES |
Entity Type | Organization |
Authorized Contact | STACY ROSE Office Admin 252-728-2025 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4545) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2014-11-19 |