| NPI | 1932977147 |
|---|---|
| Doing Business As | THE DENTIST @ KERNERSVILLE |
| Entity Type | Organization |
| Authorized Contact | CHARITY H HATAMPA Member 336-967-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |