| NPI | 1083828198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REID H BROGDEN Doctor 919-467-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 3555) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 6869) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 6799) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |