| NPI | 1003845389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CUTHRELL Owner 336-765-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5742) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-07-05 |