NPI | 1801523352 |
---|---|
Doing Business As | DEREK C. BARNES, DMD COSMETIC AND FAMILY DENTISTRY |
Doing Business As | ORCHARD LAKE DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARY CHAFFIN Director 704-997-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-08-04 |
Last Update Date | 2024-06-11 |