NPI | 1053436204 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE ROBERT HORTON Dentist 910-295-5980 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC NC4851) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2008-03-11 |