| NPI | 1063941128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA DELINA SINGLETARY CEO 252-443-9097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 261QD0000X Clinic/Center, Dental | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-21 |