NPI | 1659014587 |
---|---|
Doing Business As | TOWN CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | JALONDA SWEENEY Director 704-997-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-04-19 |
Last Update Date | 2022-04-19 |