NPI | 1770915738 |
---|---|
Doing Business As | EDEN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | INSOOK BAIK SMITH President/Owner 336-627-5206 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 9202) |
Enumeration Date | 2013-08-01 |
Last Update Date | 2013-08-01 |