NPI | 1053545236 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE LECANN Owner 919-789-8682 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7000) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 6970) |
Enumeration Date | 2009-05-04 |
Last Update Date | 2009-05-04 |