| NPI | 1568189702 |
|---|---|
| Doing Business As | DENTAL TRANSFORMATIONS |
| Doing Business As | DENTAL TRANSFORMATION |
| Entity Type | Organization |
| Authorized Contact | KALEB THOMPSON Owner 252-335-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |