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 |