| NPI | 1649820093 |
|---|---|
| Doing Business As | O2 DENTAL GROUP OF DURHAM |
| Entity Type | Organization |
| Authorized Contact | LILLIAN M PAGAN Manager 910-377-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |