| NPI | 1710384938 |
|---|---|
| Doing Business As | OAK GROVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BEBE GUNTER JACKSON Manager 910-863-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice (Licence: NC 9387) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2022-07-21 |