NPI | 1669950689 |
---|---|
Doing Business As | DEVANEY DENTISTRY @ BRASSFIELD |
Entity Type | Organization |
Authorized Contact | MATTHEW WADE DEVANEY Owner 336-643-5515 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: NC 6974) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2018-08-01 |