| NPI | 1023449287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY L VRUWINK Owner 336-629-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 3861) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |