| NPI | 1063421337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA BELL WARREN Dr. 252-633-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 025005572) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-09-13 |