NPI | 1750495693 |
---|---|
Doing Business As | VILLAGE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | MICHAEL JOHN KNOWLES Owner 910-485-8884 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2006-08-18 |
Last Update Date | 2016-01-12 |