| NPI | 1699410993 |
|---|---|
| Doing Business As | LIVE OAK DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANIEL J DUFFY Owner 910-762-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |