| NPI | 1861650079 | 
|---|---|
| Doing Business As | WAKEFIELD DENTAL CARE | 
| Entity Type | Organization | 
| Authorized Contact | GERARD R. MAGNO President 919-570-8338  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental | 
| Enumeration Date | 2008-05-26 | 
| Last Update Date | 2008-05-26 |