| NPI | 1063840742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY NOBLE BERNDT President 252-291-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 8899) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |