| NPI | 1073846473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN HORNTHAL Administrative 252-482-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6448) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |