NPI | 1720521982 |
---|---|
Doing Business As | GOLDSBORO PEDIATRIC DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | TIMOTHY O IMAFIDON Owner 919-274-7304 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 10244) |
Enumeration Date | 2016-11-21 |
Last Update Date | 2016-11-21 |