| NPI | 1598007601 |
|---|---|
| Doing Business As | BLUE WATER PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BOO LEE Secretary 919-762-7013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |