| NPI | 1417358573 |
|---|---|
| Doing Business As | ROYAL OAK DENTAL GROUP AT MIDTOWN |
| Entity Type | Organization |
| Authorized Contact | JACOB THOMAS SMITH M 919-847-5283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 5261) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 9665) |
| 122300000X Dentist (Licence: NC 9695) | |
| 122300000X Dentist (Licence: NC 9696) | |
| 1223P0700X Dentist, Prosthodontics (Licence: NC 9664) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |