NPI | 1427614510 |
---|---|
Doing Business As | SOUTHERN SMILES OF EASTERN NORTH CAROLINA |
Entity Type | Organization |
Authorized Contact | NORBERTO VELAZQUEZ President 252-752-7880 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-05-14 |
Last Update Date | 2019-05-14 |