| NPI | 1083650881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA B HUNT Insurane Coordnator 910-521-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 0836) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-06-15 |