| NPI | 1902398670 |
|---|---|
| Doing Business As | DOCKSIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHARLES J SCHEIN President 252-638-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 10069) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |