NPI | 1376755546 |
---|---|
Doing Business As | BLUE RIDGE DENTISTRY |
Entity Type | Organization |
Authorized Contact | JESSICA JOHNSON Practice Manager 828-264-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 104691) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2021-04-12 |