NPI | 1427165737 |
---|---|
Doing Business As | RENAISSANCE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | SUMAN KUMAR VIDYARTHI Dentist 919-544-7777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7817) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 7188) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2020-08-22 |