| 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 |