| NPI | 1467929018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN-MARIE SHANAHAN MANOLAKIS Practice Owner/Endodontist 251-342-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |