NPI | 1619603156 |
---|---|
Doing Business As | LAKE ENDO |
Entity Type | Organization |
Authorized Contact | CANDIE GOODWIN Admin 704-987-9888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2022-07-27 |
Last Update Date | 2022-08-23 |