NPI | 1710450192 |
---|---|
Doing Business As | CLERMONT DENTAL |
Doing Business As | CLERMONT FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ATOUSA B SAFAVI Dentist/Owner 919-428-4525 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-01-08 |
Last Update Date | 2022-09-12 |