| NPI | 1528677754 |
|---|---|
| Other Name | CAROLINASDENTIST FUQUAY-VARINA |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL D FLOWERS Finance Coordinator 703-304-1276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |