| NPI | 1558597971 |
|---|---|
| Doing Business As | CAPE FEAR ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | LARRY TABATCHNICK Owner 910-483-9546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 8750) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |