| NPI | 1063624583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOHNSTON NOEL President 252-438-8146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 3385) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |