| NPI | 1700404902 |
|---|---|
| Doing Business As | MAYFAIRE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN ANDERSON OVERTON President 910-619-1962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |