Organization
SOUTHERN LIVING FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW GRABOWSKI D.D.S. (OWNER/MEMBER)
(919) 244-1271
Entity
Organization
Contact information
Practice address
100 PINECROFT DR, CLAYTON, NC 27520-6923
(919) 244-1271
Mailing address
100 PINECROFT DR, CLAYTON, NC 27520-6923
(919) 244-1271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9297
NC
Other
Enumeration date
07/07/2016
Last updated
08/23/2016
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