| NPI | 1407150063 |
|---|---|
| Doing Business As | PORT CITY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TRISTAN WILLIAM HAMILTON Part Owner/Dds 910-399-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8843) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |