| NPI | 1578275699 |
|---|---|
| Doing Business As | ABERCORN DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | ROY DOUGLAS MAYNARD Dds/Owner 919-606-1387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |