| NPI | 1619344553 |
|---|---|
| Doing Business As | PRIME FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SABINE SCHTAKLEFF President 984-664-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 9313) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |