NPI | 1780199562 |
---|---|
Doing Business As | TRANQUIL BAY DENTAL |
Entity Type | Organization |
Authorized Contact | KYLE WILSON TAYLOR Owner 704-560-3582 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 5190) |
Enumeration Date | 2017-12-03 |
Last Update Date | 2017-12-03 |