| NPI | 1750047593 |
|---|---|
| Doing Business As | BIRKDALE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE WING President 704-997-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2022-02-18 |