| NPI | 1477109239 |
|---|---|
| Doing Business As | DAVIE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NICKOLAS ANDREW KEPHART Owner 336-760-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |