NPI | 1942359997 |
---|---|
Doing Business As | FAMILY COMPREHENSIVE & COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | SUSIE M ORR Office Manager 910-353-5171 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 5694) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 6662) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2018-09-06 |