| NPI | 1043309057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR DIAZ Business Administrator 919-431-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7247) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |