COMPREHENSIVE AND COSMETIC DENTISTRY
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1821360306- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 400 DOLPHIN DR, JACKSONVILLE, NC, 285465291
- Phone
- (910) 937-6454
- Fax
- (910) 937-6453
Specialties & Taxonomies
Dentist
License: NC #9795
Dentist
Primary License: NC #6662