NPI | 1053532283 |
---|---|
Entity Type | Organization |
Authorized Contact | FERDINAND VINCENT ALLISON President 919-806-1996 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5656) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-08-22 |