| NPI | 1790930030 |
|---|---|
| Doing Business As | OAK GROVE DENTAL |
| Doing Business As | DENTAL CENTER AT ZEBULON |
| Entity Type | Organization |
| Authorized Contact | BEBE JACKSON Office Manager 910-863-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 7917) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2022-07-21 |