| NPI | 1811084072 |
|---|---|
| Doing Business As | MEADOWMONT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | COREY WAYNE WILSON Owner 919-969-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6123) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2016-09-19 |