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 |