| NPI | 1548616733 |
|---|---|
| Doing Business As | OLIVE CHAPEL FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DUSTIN JACOB PRUSIK Owner/President 919-345-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 9726) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |