Organization · Type 2 NPI

1134468564

Dental Clinic/Center · Raleigh, NC

NPI number 1235916636 Active

About NPI 1235916636

1134468564's National Provider Identifier is 1235916636, issued on Sep 11, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Raleigh, NC. The record was last updated on Sep 11, 2023.