| NPI | 1790212462 |
|---|---|
| Other Name | ECU SCHOOL OF DENTAL MEDICINE-FPC |
| Entity Type | Organization |
| Authorized Contact | LISA P ROSS Director Of Finance 252-737-7011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology | |
| 125Q00000X Oral Medicinist | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |