NPI | 1497110753 |
---|---|
Entity Type | Organization |
Authorized Contact | CLIFTON CAMERON Owner 910-988-5483 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC NC8549) |
Enumeration Date | 2015-12-30 |
Last Update Date | 2015-12-30 |