| NPI | 1558060335 |
|---|---|
| Doing Business As | 818 DENTAL |
| Entity Type | Organization |
| Authorized Contact | KELLY COX KORNEGAY Billing Specialist 919-273-7424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |