NPI | 1740453083 |
---|---|
Doing Business As | FRED SIMMONS DDS |
Entity Type | Organization |
Authorized Contact | WILSON FREDERICK SIMMONS Dentist 336-722-6662 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5239) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2008-04-08 |