NPI | 1629212113 |
---|---|
Other Name | ENLIGHTEN DENTAL |
Entity Type | Organization |
Authorized Contact | DANIEL F. DRISCOLL Owner/Dentist 336-765-0904 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 2679) |
Enumeration Date | 2009-04-28 |
Last Update Date | 2009-04-28 |