| NPI | 1023109691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JAY KATZ President/Owner 336-286-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 4915) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-06-27 |