| NPI | 1639677800 |
|---|---|
| Doing Business As | EASTERN PINES DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARCUS BRIAN WARD President 252-944-3918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 3394) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |