| NPI | 1942015433 |
|---|---|
| Doing Business As | CAROLINA PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | ERIKA MELISSA MENJIVAR Sr. Credentialing Specialist 469-596-6137 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |