| NPI | 1356178206 |
|---|---|
| Doing Business As | LIVING OAKS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEREMY DYLAN MCDONIELL Owner 251-978-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |