NPI | 1538478573 |
---|---|
Doing Business As | PINE VALLEY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ARASH T BASSIRI President 910-867-2344 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6315) |
Enumeration Date | 2010-09-24 |
Last Update Date | 2014-07-30 |