| NPI | 1699242628 |
|---|---|
| Doing Business As | LILAC CITY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT PAUL RENCK Owner 828-318-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |