| NPI | 1982125936 |
|---|---|
| Doing Business As | AXIOM DENTISTRY OF LOUISBURG |
| Entity Type | Organization |
| Authorized Contact | TIFFANY NICOLE REYNOLDS Regional Manager 919-495-7043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 07005) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |