NPI | 1992783815 |
---|---|
Former Legal Business Name | STEPHANIE A QUICK |
Entity Type | Organization |
Authorized Contact | STEPHANIE JENKINS Dentist 919-361-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 6714) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2020-08-22 |