| NPI | 1639456668 |
|---|---|
| Doing Business As | DURHAM DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | LYNETTE STEVENS CROCKER Owner/Dentist 919-544-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2013-09-03 |