NPI | 1851134829 |
---|---|
Doing Business As | JUSTICE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARY CHAFFIN Credentialing 704-997-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-11-04 |