| NPI | 1548585862 |
|---|---|
| Doing Business As | FAYETTEVILLE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LAURA ECKARD Practice Administrator 910-484-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 7930) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |