NPI | 1346546314 |
---|---|
Doing Business As | MINI CITY DENTAL |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER CLARK Owner/Dentist 910-863-2377 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 7917) |
Enumeration Date | 2011-02-08 |
Last Update Date | 2011-02-08 |