NPI | 1417383761 |
---|---|
Doing Business As | LUMBER RIVER DENTAL |
Entity Type | Organization |
Authorized Contact | SARAH DESIREE WALKER Dentist/Business Owner 910-474-2587 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 8588) |
Enumeration Date | 2013-09-18 |
Last Update Date | 2013-10-03 |