Samuel Ray Cross Valid NPI
Individual provider · Dentist · Elizabethtown, NC
- NPI
- 1174700967
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 4625 (NC)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-01-24
- Last updated
- 2008-01-24
Practice location
401 Doctor'S Circle
Elizabethtown, NC 28337
(910) 862-2892