NPI | 1831748458 |
---|---|
Doing Business As | EASTOWNE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | SAE KIM Owner 919-933-3310 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-09-06 |
Last Update Date | 2019-09-06 |