Organization
JOHN M ROMULUS IV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAL HUMPHREY (OFFICE MANAGER)
(910) 938-4333
Entity
Organization
Contact information
Practice address
3745 HENDERSON DR, JACKSONVILLE, NC 28546-5237
(910) 938-4333
Mailing address
3745 HENDERSON DR, JACKSONVILLE, NC 28546-5237
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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