NPI | 1477902989 |
---|---|
Doing Business As | RANDOLPH PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAMES FETNER Clinic Supervisor 336-963-2408 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2016-06-06 |
Last Update Date | 2016-06-06 |