| NPI | 1013124171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN H. DAVIS President 919-488-2194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 6219) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |