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 |