| NPI | 1063155562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLAS CHRISTOPHER OLER Dentist 919-615-2885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |