| NPI | 1316433253 |
|---|---|
| Doing Business As | WILMINGTON PERIODONTICS & IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | LANCE HUTCHENS President 910-772-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |