| NPI | 1811492382 |
|---|---|
| Doing Business As | AXIOM DENTISTRY OF LEESVILLE ROAD |
| Entity Type | Organization |
| Authorized Contact | TIFFANY NICOLE REYNOLDS Regional Manager 919-266-3380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 07005) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |