| Port City Family And Cosmetic Dentistry | |
|
1624 Princess St Wilmington NC 28401-3848 | |
| (910) 251-8174 | |
| (910) 341-3037 |
| Full Name | Port City Family And Cosmetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1624 Princess St, Wilmington, North Carolina |
| Authorized Official Name and Position | Jillian Barras (OWNER) |
| Authorized Official Contact | 9102518174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port City Family And Cosmetic Dentistry 1624 Princess St Wilmington NC 28401-3848 Ph: (910) 251-8174 | Port City Family And Cosmetic Dentistry 1624 Princess St Wilmington NC 28401-3848 Ph: (910) 251-8174 |
| NPI Number | 1568750503 |
|---|---|
| Provider Enumeration Date | 07/12/2011 |
| Last Update Date | 07/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568750503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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