NPI | 1659540037 |
---|---|
Doing Business As | DENTAL CENTER AT WATERFORD |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J CLARK Owner 910-383-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7917) |
Enumeration Date | 2008-02-29 |
Last Update Date | 2008-06-23 |