| NPI | 1013048875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA WEST BROOKS Vice President Secretary 919-467-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3333) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |