NPI | 1083059893 |
---|---|
Entity Type | Organization |
Authorized Contact | SHUQUAN ZONG Office Manager 919-489-8820 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8191) |
Enumeration Date | 2013-05-07 |
Last Update Date | 2013-05-07 |