| NPI | 1669081949 |
|---|---|
| Doing Business As | THE MORRISVILLE DENTIST |
| Entity Type | Organization |
| Authorized Contact | TIFFANY LORICK Credentialing Specialist 919-948-6787 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |