| NPI | 1649388489 |
|---|---|
| Doing Business As | ADVANCED DENTISTRY OF BLAKENEY |
| Entity Type | Organization |
| Authorized Contact | GEORGE ALEXANDER BETANCOURT Dentist/Co President/Co Owner 704-543-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7882) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-02-15 |