NPI | 1386044865 |
---|---|
Doing Business As | ROYAL OAK DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | BLAKE R JONES General Dentist 919-468-4211 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 9696) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 9695) |
122300000X Dentist (Licence: NC 9665) | |
1223P0700X Dentist, Prosthodontics (Licence: NC 9664) | |
Enumeration Date | 2014-09-03 |
Last Update Date | 2014-09-03 |