| NPI | 1497470538 |
|---|---|
| Doing Business As | WILLOW OAK DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMY SCOGGINS Office Manager 704-342-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |