| NPI | 1366840845 |
|---|---|
| Doing Business As | CRABTREE VALLEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW S WIRICK President 919-787-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6781) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |