| NPI | 1023432408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S WON Owner 919-469-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| 1223E0200X Dentist, Endodontics | |
| 1223G0001X Dentist, General Practice | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |