| NPI | 1518358324 |
|---|---|
| Doing Business As | PARKSIDE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANTHONY NETTEY-MARBELL Member Manager 919-659-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8157) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |