| NPI | 1083037444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT P. VISSIEHELLI Doctor 910-778-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NC 8363) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-04-23 |